COELISE H MARTIN (NPI# 1154965283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154965283 |
| Entity Type | Individual |
| Full Name | COELISE H MARTIN |
| Practice Address |
390 40th St Oakland CA 94609-2633 |
| Practice Telephone | 5106130330 |
| Practice Fax Number | 5105694589 |
| Mailing Telephone | 5106130330 |
| Mailing Fax Number | 5105694589 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
N9378568 | CA | Nursing Service Providers |
| Street Address |
390 40TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831267418 | Catherine Anne Mcdonald | Pediatrics | 390 40th St, Oakland, CA 94609-2633 | 2006-12-01 |
| 1245831502 | Cassandra Beck | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-11-03 |
| 1306445911 | Kamilah Aisha Puckett | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-10-23 |
| 1801403662 | Donna M Scott | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-09-25 |
| 1902412026 | Carolyn Mariru Kojima | Social Worker | 390 40th St, Oakland, CA 94609-2633 | 2020-09-23 |
| 1699388702 | Donyell Meyung Crin Sr. | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-28 |
| 1164034906 | Mercie Tiara Jones | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-22 |
| 1023629102 | David Colburn Armstrong | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-12 |
| 1790303766 | Richard Robinson | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-07-07 |
| 1114545183 | Sidonia Mapp | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669615985 | Ari Max Bachrach | Registered Nurse | 445 Bellevue Ave Ste 101c, Oakland, CA 94610-4923 | 2009-04-16 |
| 1265677983 | Elisabeth Lippincott Collins | Registered Nurse | 1212 Broadway Ste 1200, Oakland, CA 94612-1814 | 2008-12-09 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1346377538 | Mark Andrew Fernandez | Registered Nurse | 390 40th St, Oakland, CA 94609-2633 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1669006169 | Manal Qaqi | Registered Nurse | 6625 Green Valley Cir Unit 302, Culver City, CA 90230-8108 | 2020-02-24 |
| 1023671732 | Minerva Jordan | Registered Nurse | 4321 Eliot Ct, Modesto, CA 95356-8936 | 2019-04-18 |
| 1578930202 | Angela Johnson | Registered Nurse | 8470 Roswell St, Ventura, CA 93004-2109 | 2015-08-28 |
| 1255707246 | Heraclio Vidal Herrera | Registered Nurse | 26889 Cherry Willow Dr, Santa Clarita, CA 91387-1813 | 2015-08-13 |
| 1396174660 | Stacy Eileen Joseph-tohl | Registered Nurse | 13749 Riverside Dr., Suite 201, Sherman Oaks, CA 91401 | 2013-11-06 |
| 1912340969 | Caitlin Sierra Maclaurin | Registered Nurse | 3260 Kerner Blvd Ste A, San Rafael, CA 94901-4840 | 2013-04-09 |
| 1437486966 | Adrian Caraballo | Registered Nurse | 2569 Santa Ana Ave, #4, Costa Mesa, CA 92627-5400 | 2009-11-04 |
| 1528391646 | Debra Jane Milligan | Registered Nurse | 410 La Cresta Heights Rd, El Cajon, CA 92021-3834 | 2009-09-08 |
| 1578710646 | Elizabeth Andrea Moore | Registered Nurse | 225 Hartford St, San Francisco, CA 94114-2589 | 2008-08-20 |
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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.