KIMBERLY MARIE MARTINEZ (NPI# 1083637680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083637680 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE MARTINEZ |
| Credential | ANP |
| Practice Address |
2700 Se Stratus Ave Unit 304 Mcminnville OR 97128-6257 |
| Practice Telephone | 5034346090 |
| Practice Fax Number | 5034743306 |
| Mailing Telephone | 5034346090 |
| Mailing Fax Number | 5034743306 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
094006411N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 210707 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477109213 | Kimberly Martinez | Behavior Technician | 23453 Lyons Ave, Valencia, CA 91355-3028 | 2019-08-16 |
| 1700442647 | Kimberly Gabrielle Martinez | Student in an Organized Health Care Education/Training Program | Carr 150 Ramal 5520 Km 0.9, Bo Cerro Gordo, Villalba, PR 00766 | 2019-05-16 |
| 1669974705 | Kimberly Martinez | Health Educator | 77 Michigan Ave E, Battle Creek, MI 49017-7029 | 2018-03-05 |
| 1376893495 | Kimberly Patricia Martinez | Licensed Vocational Nurse | 226 S Clovis Ave Apt 115, Fresno, CA 93727-4283 | 2012-09-17 |
| 1447536636 | Kimberly Marie Martinez | Physician Assistant | 832 Del Oro Lane., Suite 2, Pharr, TX 78577 | 2011-11-01 |
| 1316568405 | Kimberly Ann Martinez | Nurse Anesthetist, Certified Registered | 26520 Cactus Ave, Moreno Valley, CA 92555 | 2020-04-30 |
| 1215562905 | Kimberly Anne Martinez | Social Worker | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-03-03 |
| 1336782515 | Kimberly Martinez | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2019-10-21 |
| 1346881794 | Kimberly Martinez | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2019-10-07 |
| 1225689128 | Kimberly Martinez | Counselor | 284 Pennsylvania Dr, Watsonville, CA 95076-3768 | 2019-09-23 |
| Street Address |
2700 SE STRATUS AVE UNIT 304 |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578657656 | Irene P Vetto | Nurse Practitioner | 2700 Se Stratus Ave, Suite A, Mcminnville, OR 97128-6255 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.