ALICIA JASMINE MARTINEZ (NPI# 1073167086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073167086 |
| Entity Type | Individual |
| Full Name | ALICIA JASMINE MARTINEZ |
| Practice Address |
804 W Choctaw Ave Chickasha OK 73018-2310 |
| Mailing Address |
7777 E Us Highway 66 El Reno OK 73036-9125 |
| Practice Telephone | 4053208026 |
| Mailing Telephone | 4054228800 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154765824 | Alicia Gonzalez Martinez | Physical Therapy Assistant | 4091 Eastchester Dr., Bryan, TX 77802 | 2013-04-24 |
| 1457978793 | Alicia Martinez | Behavior Technician | 1603 Medical Pkwy Ste 100, Cedar Park, TX 78613-7904 | 2020-07-02 |
| 1821648817 | Alicia Martinez | Registered Nurse | 1425 Starr Ave, Toledo, OH 43605-2456 | 2019-09-12 |
| 1538637145 | Alicia Martinez | Counselor | 3576 Arlington Ave Ste 100, Riverside, CA 92506-3907 | 2018-11-13 |
| 1437687399 | Alicia Elizabeth Martinez | Genetic Counselor, MS | 75 Claremont Rd Ste 206, Bernardsville, NJ 07924-2270 | 2017-05-23 |
| 1194278721 | Alicia Nicole Martinez | Registered Nurse | 2500 S Havana St, Aurora, CO 80014-1618 | 2016-08-01 |
| 1336513936 | Alicia Martinez | Social Worker | 16120 Ne 8th St, Bellevue, WA 98008-3937 | 2015-11-19 |
| 1184012056 | Alicia Martinez | Counselor | 700 N Irwin St, Hanford, CA 93230-3814 | 2014-12-30 |
| 1710311600 | Alicia Marie Martinez | Counselor | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2013-08-27 |
| 1053634584 | Alicia Martinez | Physical Therapist | 1110 Carolina Ln, San Diego, CA 92102-3713 | 2010-03-11 |
| Street Address |
804 W CHOCTAW AVE |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306959077 | Nathan Ray Wilson | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2006-08-16 |
| 1992344808 | Steven Wayne Chandler | Case Manager/Care Coordinator | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-12-26 |
| 1356984785 | Guy Huggins Jr. | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-10-17 |
| 1164079307 | David Albert Trevino Jr. | Technician, Pathology | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-08-22 |
| 1205482445 | Dawnshaye Renee Blakes | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-08-14 |
| 1467019828 | Amy Janelle Craig | Nurse Practitioner | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-05-21 |
| 1710444955 | Rebecca D. Cantrell | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-02-25 |
| 1710457064 | Kristen Korren Ford | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2018-11-29 |
| 1760967251 | Oklahoma Mental Health Council | Clinic/Center | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2018-10-01 |
| 1609357714 | John Pleas Houston | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| Find all providers in zip 73018 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011880 | Katherine June Cate | Case Manager/Care Coordinator | 2472 State Highway 92, Chickasha, OK 73018-7012 | 2018-01-12 |
| 1225559396 | Alissa Brummett | Case Manager/Care Coordinator | 8 Hillcrest Dr, Chickasha, OK 73018-6230 | 2017-06-29 |
| 1831640333 | Ashley Foster | Case Manager/Care Coordinator | 1108 S 4th St, Chickasha, OK 73018-4634 | 2016-10-19 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1275650368 | Clyde W Ates | Case Manager/Care Coordinator | 1427 Sheppard St, Chickasha, OK 73018-5917 | 2007-03-23 |
| 1992344808 | Steven Wayne Chandler | Case Manager/Care Coordinator | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-12-26 |
| 1184181893 | Bryttanie Ranie Dryz | Case Manager/Care Coordinator | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2019-02-28 |
| 1770022576 | Candace Green | Case Manager/Care Coordinator | 1108 S 4th St Ste 200, Chickasha, OK 73018-4634 | 2017-02-14 |
| 1497290159 | Jill Carroll | Case Manager/Care Coordinator | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2017-01-04 |
| 1558712273 | Johnna Hurt | Case Manager/Care Coordinator | 210 S 4th St, Ste E, Chickasha, OK 73018-3460 | 2016-06-23 |
| Find all providers in CHICKASHA | ||||
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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.