NICOLE S MARTIN (NPI# 1356763080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356763080 |
Entity Type | Individual |
Full Name | NICOLE S MARTIN |
Credential | LPC |
Practice Address |
505 28th St Vienna WV 26105-1451 |
Practice Telephone | 3042954484 |
Mailing Telephone | 3042954484 |
Enumeration Date | 2014-01-15 |
Last Update Date | 2019-02-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12-305 | WV | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
2069 | WV | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396367058 | Nicole Lauren Martin | Student in an Organized Health Care Education/Training Program | Unc Department of Anesthesiology N2198, Cb 7010, Chapel Hill, NC 27599-0001 | 2020-05-15 |
1538710132 | Nicole Renee Martin | Counselor | 5902 31st Ave Apt 203, Hyattsville, MD 20782-2903 | 2019-09-25 |
1235607219 | Nicole Martin | Dietitian, Registered | 96 Woodland Dr, Hopkinton, NH 03229-2532 | 2018-11-07 |
1972007656 | Nicole Martin | Massage Therapist | 13933 253rd St, Rosedale, NY 11422-2611 | 2018-03-19 |
1912446089 | Nicole Dushaun Martin | Licensed Practical Nurse | 2641 N Moreland Blvd, Apt 4, Cleveland, OH 44120-1489 | 2017-02-22 |
1104002369 | Nicole Sonyette Martin | Licensed Practical Nurse | 2573 E 37th St, Cleveland, OH 44115-3324 | 2008-01-17 |
1225213952 | Nicole Dana Martin | Counselor | 7 Surfbird Ln, Aliso Viejo, CA 92656-1775 | 2007-12-31 |
1194906396 | Nicole L Martin | Counselor | 6915 Crumpler Blvd Ste A, Olive Branch, MS 38654-1907 | 2007-11-16 |
1619186285 | Nicole Marie Martin | Pharmacist | 5316 Congress Ave Apt 3, Madison, WI 53718-2268 | 2007-05-21 |
1629290945 | Nicole M Martin | Occupational Therapy Assistant | 3361 S 54th St, Milwaukee, WI 53219-4424 | 2007-05-03 |
Street Address |
505 28TH ST |
City | VIENNA |
State | WV |
Zip Code | 26105-1451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
Find all providers in zip 26105 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180091 | Jill W. Bianco | Counselor | 131 Park St Ne Ste 8f, Vienna, VA 22180-4642 | 2019-12-01 |
1508402066 | Jee Young Suk | Counselor | 1952 Gallows Rd Ste 210, Vienna, VA 22182-3823 | 2019-11-20 |
1427608124 | Bridge To Wellness Centers, LLC | Counselor | 1934 Old Gallows Rd Ste 360, Vienna, VA 22182-4040 | 2019-09-13 |
1730670506 | Jewell Miriam Gibbs | Counselor | 501 Church St Ne Ste 208, Vienna, VA 22180-4734 | 2018-05-28 |
1932644671 | Bruce Manise | Counselor | 131 Park St Ne # 8, Vienna, VA 22180-4641 | 2017-01-05 |
1578992210 | Matthew George Neverusky | Counselor | 7970 Vigne Ct, Vienna, VA 22182-4052 | 2013-11-04 |
1437407343 | Reen Hayes Lyddane | Counselor | 2110 A Gallows Road, Vienna, VA 22182 | 2012-08-27 |
1568729226 | Linda Carol Padgett | Counselor | 1013 Mountfort Ct Sw, Vienna, VA 22180-6469 | 2012-04-19 |
1528269438 | Kelly Lutrell Stephenson | Counselor | 8227 Old Courthouse Rd Ste 215, Vienna, VA 22182-3815 | 2007-05-29 |
1477672764 | Robert Christopher Brown | Counselor | 8925 Leesburg Pike, Vienna, VA 22182-1742 | 2007-03-28 |
Find all providers in VIENNA |
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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.