BERNADETTE ANDREA MARTINEZ (NPI# 1053528745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053528745 |
Entity Type | Individual |
Full Name | BERNADETTE ANDREA MARTINEZ |
Credential | LPN |
Practice Address |
310 La Jara St Bloomfield NM 87413-6626 |
Mailing Address |
1002 Mangum Rd Bloomfield NM 87413-9647 |
Practice Telephone | 5056343891 |
Practice Fax Number | 5056343856 |
Mailing Telephone | 5056343891 |
Mailing Fax Number | 5056343856 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | L18680 | NM | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 64434826 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710219209 | Bernadette Martinez | Behavioral Analyst | 807 W Apache St, Farmington, NM 87401-5527 | 2010-02-08 |
1225190069 | Bernadette Cruz-vicente Martinez | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2006-12-15 |
Street Address |
310 LA JARA ST |
City | BLOOMFIELD |
State | NM |
Zip Code | 87413-6626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144791310 | Sharlee Ashley | Registered Nurse | 310 La Jara St, Bloomfield, NM 87413-6626 | 2018-12-16 |
1174007157 | Kathleen Henderson | Social Worker | 310 La Jara St, Bloomfield, NM 87413-6626 | 2018-09-17 |
1972712685 | Deeann Stotz | Speech-Language Pathologist | 310 La Jara St, Bloomfield, NM 87413-6626 | 2007-05-21 |
1750598835 | Bertha Ann Roark | Registered Nurse | 310 La Jara St, Bloomfield, NM 87413-6626 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
Find all providers in zip 87413 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189690 | Sarah Boonstra | Licensed Practical Nurse | 9277 Dugway Rd, Bloomfield, NY 14469-9543 | 2020-09-16 |
1902419039 | Bernedette Dimbo | Licensed Practical Nurse | 203 Watsessing Ave, Bloomfield, NJ 07003-5605 | 2020-08-28 |
1710509658 | Caring Nurses, LLC | Licensed Practical Nurse | 107 Old Windsor Rd, Bloomfield, CT 06002-1400 | 2020-05-14 |
1972142354 | Rebecca Smith Benjamin | Licensed Practical Nurse | 9 Dodd St, Bloomfield, NJ 07003-4633 | 2020-01-02 |
1851743744 | Shana Cogman | Licensed Practical Nurse | 103 La France Ave, Bloomfield, NJ 07003-5683 | 2016-07-05 |
1194009100 | Wismick Constant | Licensed Practical Nurse | 49 Elston St, Bloomfield, NJ 07003-3911 | 2011-10-10 |
1194003715 | Bonnie J Pestle | Licensed Practical Nurse | 4121 Jones Rd, Bloomfield, NY 14469-9733 | 2011-07-31 |
1508041856 | Suellen Sickles | Licensed Practical Nurse | 2587 County Road 39, Bloomfield, NY 14469-9501 | 2008-01-07 |
1710178165 | Kim Ann Valone | Licensed Practical Nurse | 3209 Wesley Rd, Bloomfield, NY 14469-9533 | 2007-08-09 |
1689882367 | Nancy Ashworth | Licensed Practical Nurse | 310 W Sycamore Ave, Bloomfield, NM 87413-5844 | 2007-05-18 |
Find all providers in BLOOMFIELD |
City | BLOOMFIELD |
Zip Code | 87413 |
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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.