KATIE LEA MARTIN (NPI# 1144644808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144644808 |
Entity Type | Individual |
Full Name | KATIE LEA MARTIN |
Credential | CAS |
Practice Address |
1604 S Santa Fe Ave Suite 403 San Jacinto CA 92583-5062 |
Practice Telephone | 9516549737 |
Mailing Telephone | 9516549737 |
Enumeration Date | 2014-02-14 |
Last Update Date | 2014-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386095511 | Katie Martin | Dentist | 13065 W Mcdowell Rd Ste A101, Avondale, AZ 85392 | 2016-06-29 |
1467849117 | Katie Martin | Counselor | 22 U.S. Oval, Suite 100, Plattsburgh, NY 12903-5901 | 2015-04-21 |
1750632626 | Katie Lynn Martin | Nurse Practitioner | 602 W Grand Pkwy S, Katy, TX 77494-8328 | 2012-10-02 |
1114532124 | Katie Martin | Advanced Practice Midwife | 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 | 2020-09-15 |
1487279352 | Katie E Martin | Pharmacist | Walgreens Pharmacy, 7804 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-06-16 |
1104479534 | Katie Martin | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-07-24 |
1477071009 | Katie Martin | Registered Nurse | 424 Savannah Road, Lewes, DE 19958 | 2017-09-04 |
1013432053 | Katie Martin | Physical Therapy Assistant | 10000 W 75th St Ste 250, Merriam, KS 66204-2218 | 2017-08-10 |
1417304890 | Katie Denise Morgan Martin | Counselor | 674 Highlands Rd, Franklin, NC 28734-9566 | 2016-05-16 |
1770970998 | Katie Martin | Internal Medicine | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2015-04-26 |
Street Address |
1604 S SANTA FE AVE SUITE 403 |
City | SAN JACINTO |
State | CA |
Zip Code | 92583-5062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053618702 | Corey Macedon | Counselor | 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583-5060 | 2011-02-15 |
1285188581 | Daniel Michael Acosta | Marriage & Family Therapist | 1604 S Santa Fe Ave, #403, San Jacinto, CA 92583-5062 | 2016-08-04 |
1285018176 | Maria Lopez | Marriage & Family Therapist | 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583-5062 | 2015-07-10 |
1265789606 | Idalis Katerin Vargas | Marriage & Family Therapist | 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583-5062 | 2012-08-03 |
1780948471 | Jennifer Lee Ann Neiberger | Counselor | 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583-5062 | 2012-06-27 |
1619248739 | Kimberly Homan | Counselor | 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583-5062 | 2012-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
Find all providers in zip 92583 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134695604 | Wendi Witherell | Counselor | 1307 S State St Ste A, San Jacinto, CA 92583-4901 | 2018-10-22 |
1851719298 | Sharon Jackson | Counselor | 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 | 2014-04-02 |
1508105461 | Russel Albert Arnett IIi | Counselor | 1391 Rojo Ln, San Jacinto, CA 92582-4203 | 2013-02-12 |
1184816241 | Michael Ramirez | Counselor | 1604 S Santa Fe Ave # 403, San Jacinto, CA 92583-5060 | 2007-08-13 |
1013041771 | Linda Darden | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2007-03-15 |
1265068423 | Michele Kamphuis | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-03-19 |
1235779539 | Erica Wood | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-01-14 |
1518518026 | Isabel Ntekim | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-09-25 |
1831747617 | Kristina Theresa Voight | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-08-26 |
1598321085 | Dominique Jasmine Johnson | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2019-05-10 |
Find all providers in SAN JACINTO |
City | SAN JACINTO |
Zip Code | 92583 |
Please comment or provide details below to improve the information on KATIE LEA MARTIN.
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.