ALYSSA MARTIN (NPI# 1114541117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114541117 |
| Entity Type | Individual |
| Full Name | ALYSSA MARTIN |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
3509 Coffee Rd Ste D3 Modesto CA 95355-1357 |
| Practice Telephone | 3237287232 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95014544 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014544 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95014544 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962829 | Alyssa Martin | Case Manager/Care Coordinator | 1301 Coates Bluff Dr Apt 1212, Shreveport, LA 71104-2864 | 2019-09-24 |
| 1376899344 | Alyssa Martin | Home Health Aide | 4746 Benning Rd Se Apt 104, Washington, DC 20019-5188 | 2012-07-27 |
| 1457689648 | Alyssa Marie Martin | Midwife | 12 Dancing Rabbit Ln, Rutledge, MO 63563-9757 | 2009-11-26 |
| 1558976084 | Alyssa L Martin | Nurse Practitioner | 218 Rue Beauregard, Lafayette, LA 70508-3284 | 2020-09-11 |
| 1447875844 | Alyssa Natalie Martin | Counselor | 20331 Flanagan Road, Trabuco Canyon, CA 92679 | 2020-06-11 |
| 1396386959 | Alyssa Martin | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-10-04 |
| 1043707276 | Alyssa Martin | Family Medicine | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2018-04-13 |
| 1124539416 | Alyssa Martin | Counselor | 401 E 10th Ave Ste 330, Eugene, OR 97401-3357 | 2017-10-13 |
| 1720501950 | Alyssa Anne Martin | Pharmacist | 2350 Holcomb Bridge Rd, Roswell, GA 30076-3408 | 2017-07-19 |
| 1578943908 | Alyssa Martin | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2015-06-01 |
| Street Address |
3509 COFFEE RD STE D3 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902191489 | Heather Marie Clayton-young | Physician Assistant | 3509 Coffee Rd Ste D3, Modesto, CA 95355-1357 | 2011-06-13 |
| 1073151361 | Pasia Gadson | Registered Nurse | 3509 Coffee Rd Ste D3, Modesto, CA 95355-1357 | 2019-12-17 |
| 1740675255 | Jessica Hubbs | Internal Medicine | 3509 Coffee Rd Ste D3, Modesto, CA 95355-1357 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227797 | Beverly M Hodges Advanced Practice Registered Nursing Inc | Nurse Practitioner | 814 14th St Ste E, Modesto, CA 95354-1028 | 2020-08-24 |
| 1417575747 | Jyotishna Narayan | Nurse Practitioner | 1801 H St Ste C, Modesto, CA 95354-1221 | 2020-07-13 |
| 1134746019 | Michael They | Nurse Practitioner | 802 14th St Ste N, Modesto, CA 95354-1029 | 2020-06-26 |
| 1528604543 | Kristy Leann Fullard | Nurse Practitioner | 2012 Kendall Ave, Modesto, CA 95355-3280 | 2019-11-25 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1699288993 | Advance Nursing Practice Medical Group Inc | Nurse Practitioner | 1409 Lecourbe Ct, Modesto, CA 95356-8905 | 2017-11-08 |
| 1154830842 | Maria Christina Romasanta Quintana | Nurse Practitioner | 2416 La Playa Ln, Modesto, CA 95355-7952 | 2017-09-25 |
| 1538690607 | Myla Urbano | Nurse Practitioner | 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 | 2017-03-21 |
| 1467808758 | Prakriti Prashanta Janz-navarro | Nurse Practitioner | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2016-05-05 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in MODESTO | ||||
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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.