MARTINETTE Z DOUGLAS (NPI# 1033676945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033676945 |
Entity Type | Individual |
Full Name | MARTINETTE Z DOUGLAS |
Practice Address |
2931 Payson Hts Apt Suite Quincy IL 62305-6429 |
Mailing Address |
207 Calle De Parque Apt, Suite, Bldg. (optional) San Juan PR 00907 |
Practice Telephone | 7736698168 |
Mailing Telephone | 7736698168 |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
180009750 | IL | Behavioral Health & Social Service Providers |
Street Address |
2931 PAYSON HTS APT SUITE |
City | QUINCY |
State | IL |
Zip Code | 62305-6429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
Find all providers in zip 62305 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
1427608223 | Derrick Lacasse | Counselor | 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 | 2019-09-13 |
1396309134 | Ariana B Teixeira | Counselor | 859 Willard St Ste 4, Quincy, MA 02169-7482 | 2019-04-26 |
1417510553 | Seth Andrew Stultz I | Counselor | 23 Branch St, Quincy, MA 02169-7561 | 2019-04-15 |
1942772793 | Maura Eileen Papile | Counselor | 34 Coddington St, Quincy, MA 02169-4501 | 2018-12-18 |
1295219285 | Katrina D Reyes | Counselor | 460 Quincy Ave Fl 3, Quincy, MA 02169-8130 | 2018-09-17 |
1548740301 | Amanda Paige Reilly | Counselor | 500 Victory Rd Ste 24, Quincy, MA 02171-3109 | 2018-08-20 |
1023501517 | Kelly Marie O'gara | Counselor | 1419 Hancock St Ste 200, Quincy, MA 02169-5250 | 2018-06-11 |
1992295562 | Cheska Mendes | Counselor | 141 Willard St Apt 12, Quincy, MA 02169-1543 | 2018-05-18 |
Find all providers in QUINCY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.