MRS. WALLIS H MARTZ (NPI# 1154320422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154320422 |
| Entity Type | Individual |
| Full Name | MRS. WALLIS H MARTZ |
| Credential | NP |
| Practice Address |
2339 Mccallie Ave Suite 309 Chattanooga TN 37404-3256 |
| Practice Telephone | 4236980850 |
| Practice Fax Number | 4236980511 |
| Mailing Telephone | 4236980850 |
| Mailing Fax Number | 4236980511 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 50413 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 33491821 | 05 | |
| TN | TENNESSEE BCBS | 4156507 | 01 |
| TN | RAILROAD MEDICARE | P00435620 | 01 |
| Street Address |
2339 MCCALLIE AVE SUITE 309 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998278 | Orthopedic Surgical Specialists | Orthopaedic Surgery | 2339 Mccallie Ave, Suite 406 Plaza II, Chattanooga, TN 37404-3239 | 2017-01-18 |
| 1518244367 | Southern Pain Management | Specialist | 2339 Mccallie Ave, Suite 309, Chattanooga, TN 37404-3256 | 2011-11-08 |
| 1114126281 | Vicki Willis Butters | Registered Nurse | 2339 Mccallie Ave, Suite 413, Chattanooga, TN 37404-3256 | 2007-07-17 |
| 1750408977 | Robert J Barth | Clinical Neuropsychologist | 2339 Mccallie Ave, Suite 202, Chattanooga, TN 37404-3256 | 2007-03-23 |
| 1275660060 | Robert Crook | Physical Medicine & Rehabilitation | 2339 Mccallie Ave, Plaza II, Suite 407, Chattanooga, TN 37404-3256 | 2007-02-27 |
| 1396896601 | Amy C Mullin | Nurse Practitioner | 2339 Mccallie Ave, Suite 309, Chattanooga, TN 37404-3256 | 2007-01-15 |
| 1225104516 | Tamunosaki E Lawson | Psychiatry & Neurology | 2339 Mccallie Ave, Suite 401, Chattanooga, TN 37404-3256 | 2006-11-28 |
| 1518048552 | Phillip G Wright | Psychologist | 2339 Mccallie Ave, Suite 401, Plaza Two, Chattanooga, TN 37404-3256 | 2006-10-18 |
| 1023100914 | Indravadan Keshavlal Shah | Internal Medicine | 2339 Mccallie Ave, Suitt # 203, Chattanooga, TN 37404 | 2006-09-28 |
| 1891732053 | Joseph Walter Sledge IIi | Internal Medicine | 2339 Mccallie Ave, Plaza 2 Ste 204, Chattanooga, TN 37404-3256 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054785 | Jamie Renee Slagle | Nurse Practitioner | 6061 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-18 |
| 1699390757 | Lacy E Cushman | Nurse Practitioner | 1622 Mary Dupre Dr, Chattanooga, TN 37421-2538 | 2020-06-14 |
| 1366077539 | Scenic City Neurotherapy and Ketamine Center PC | Nurse Practitioner | 7405 Shallowford Rd Ste 360, Chattanooga, TN 37421-2678 | 2020-03-09 |
| 1740839315 | Emmaline Camille Newman | Nurse Practitioner | 1703 W 54th St, Chattanooga, TN 37409-2011 | 2019-09-06 |
| 1215490230 | Tina Michell Carden | Nurse Practitioner | 2200 E 3rd St Ste 100, Chattanooga, TN 37404-2724 | 2019-04-08 |
| 1922568807 | Twelvestone Infusion Centers LLC | Nurse Practitioner | 6150 Shallowford Rd Ste 102, Chattanooga, TN 37421-7218 | 2019-03-25 |
| 1710453436 | Kelly Gayler | Nurse Practitioner | 1751 Gunbarrel Rd Ste 103, Chattanooga, TN 37421-7162 | 2018-10-20 |
| 1043737976 | Sarah K Olds | Nurse Practitioner | 725 Glenwood Dr Ste 780, Chattanooga, TN 37404-1177 | 2017-08-22 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on MRS. WALLIS H MARTZ.
| 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.