MRS. BEVERLY ANN MARTIN (NPI# 1376669002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376669002 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY ANN MARTIN |
| Practice Address |
604 W Pine St Mahanoy City PA 17948-2410 |
| Practice Telephone | 5707733487 |
| Mailing Telephone | 5707733487 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 164W00000X | Licensed Practical Nurse | 9978794 | PA | Nursing Service Providers |
| X | 390200000X | Student in an Organized Health Care Education/Training Program | 9978794 | PA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104867878 | Beverly Lynn Martin | Nurse Practitioner | 508 S. Ash, Hillsboro, KS 67063-0185 | 2006-06-10 |
| 1912539669 | Beverly Martin | Counselor | 113 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2020-02-11 |
| 1750717153 | Beverly Joan Martin | Registered Nurse | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-09-18 |
| 1649457318 | Beverly S. Martin | Physical Therapist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2008-01-24 |
| 1134241193 | Beverly Martin | Psychologist | 44 Court St, Suite 900, Brooklyn, NY 11201-4405 | 2007-04-03 |
| 1114066032 | Beverly Lynn Martin | Chiropractor | 1899 Lake Rd, Suite 2a, Hiram, GA 30141-2291 | 2007-02-06 |
| Street Address |
604 W PINE ST |
| City | MAHANOY CITY |
| State | PA |
| Zip Code | 17948-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730205451 | Susan Anna Kemler | Nursing Facility/Intermediate Care Facility | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689738387 | K P Flynn Inc | Pharmacy | 15 East Center St, Mahanoy City, PA 17948 | 2006-12-20 |
| 1386738482 | Joseph C. Lobichusky | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1780784389 | Gursharan Singh | General Practice | 323 E Center St, Mahanoy City, PA 17948 | 2006-09-24 |
| 1194819292 | Joseph C. Lobichusky, Dds + Associates | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1184732174 | Mahanoy Area School District | Local Education Agency (LEA) | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2006-08-29 |
| 1821545534 | Andrea Marie Caulfield | Social Worker | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2016-09-10 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1952681074 | Angelray Family Medical LLC | Clinic/Center | 215 W Centre St, Mahanoy City, PA 17948-2505 | 2011-08-19 |
| 1336147131 | Mahanoy City Emergency Medical Inc | Ambulance | 212 W Centre St, Mahanoy City, PA 17948-2506 | 2005-07-14 |
| 1124663273 | Mark Kufrovich | Physical Therapist | 212 W Centre St, Mahanoy City, PA 17948-2506 | 2019-11-13 |
| Find all providers in zip 17948 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184723 | Mercedes Campbell | Licensed Practical Nurse | 255 E Lincoln Hwy, Penndel, PA 19047-4023 | 2020-11-05 |
| 1689272015 | Rosalia Martin | Licensed Practical Nurse | 1320 Matthew Dr, York, PA 17404-8605 | 2020-10-16 |
| 1730796335 | Stephanie Bellande | Licensed Practical Nurse | 2919 Birney Ave, Scranton, PA 18505-3131 | 2020-09-28 |
| 1740897818 | Ronald J Potocki Jr. | Licensed Practical Nurse | 8771 Findley Lake Rd, North East, PA 16428-4273 | 2020-09-23 |
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1306451752 | Catherine L. Bredel | Licensed Practical Nurse | 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 | 2020-09-12 |
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1346853090 | Marcia Tina Bristol | Licensed Practical Nurse | 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MAHANOY CITY |
| Zip Code | 17948 |
Please comment or provide details below to improve the information on MRS. BEVERLY ANN 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.