MRS. MICHELLE ELAINE MARTINEZ (NPI# 1144693953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144693953 |
Entity Type | Individual |
Full Name | MRS. MICHELLE ELAINE MARTINEZ |
Practice Address |
5012 Arlington Ave Riverside CA 92504-2710 |
Practice Telephone | 9492467818 |
Mailing Telephone | 9492467818 |
Enumeration Date | 2015-11-03 |
Last Update Date | 2019-12-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2085 Rustin Ave, #4, Riverside, CA 925072498 | 9492467818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
1992294573 | Michelle Martinez | Specialist/Technologist | 14171 Nw 87th Ct, Miami Lakes, FL 33018 | 2018-05-09 |
1881141745 | Michelle Martinez | Behavioral Analyst | 49 Shirley Ln, New London, CT 06320-2929 | 2016-09-07 |
1043586985 | Michelle Ann Martinez | Speech-Language Pathologist | 320 E Prospect Ave, Mount Vernon, NY 10553-1014 | 2012-03-26 |
1033347539 | Michelle Martinez | Speech-Language Pathologist | 3 Waddell St, North Baldwin, NY 11510-2041 | 2009-06-24 |
1407972532 | Michelle Martinez | Nurse Practitioner | 200 West Hospital Road, Whiteriver, AZ 85941-0860 | 2007-03-21 |
1437185386 | Michelle Lynn Martinez | Optometrist | 900 W Pipeline Rd, Hurst, TX 76053-4818 | 2006-06-23 |
1023622966 | Michelle Martinez | Registered Nurse | 34 Haverhill St, Lawrence, MA 01841-2884 | 2020-09-08 |
1356954101 | Michelle Angela Martinez | Clinic/Center | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-08-30 |
1245848035 | Michelle Ana Martinez | Behavior Technician | 7241 Sw 63rd Ave Ste 101a, South Miami, FL 33143-4838 | 2020-07-17 |
Street Address |
5012 ARLINGTON AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92504-2710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
Find all providers in zip 92504 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
1053802769 | Miesha Hale | Peer Specialist | 1820 University Ave Ste 2b, Riverside, CA 92507-5355 | 2018-05-29 |
1538677612 | Monica Munoz | Peer Specialist | 9991c County Farm Rd, Riverside, CA 92503-3506 | 2018-01-11 |
1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
1043738099 | Colene Lavonne Roberts | Peer Specialist | 9890 County Farm Rd # 2, Riverside, CA 92503-3505 | 2017-08-30 |
1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
1841713203 | Denise Darlene Leeper | Peer Specialist | 771 W. Blaine St, Suite C., Riverside, CA 92507 | 2017-07-18 |
1427590058 | Jennifer Hayford | Peer Specialist | 3250 Panorama Rd Apt 139, Riverside, CA 92506-1351 | 2016-11-14 |
1558733824 | Gina Irvin | Peer Specialist | 771 W Blaine St # C, Riverside, CA 92507-3940 | 2015-10-27 |
1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
Find all providers in RIVERSIDE |
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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.