JENNIFER MAE MARTIN (NPI# 1396110045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396110045 |
| Entity Type | Individual |
| Full Name | JENNIFER MAE MARTIN |
| Credential | AGACNP-BC/FNP-BC |
| Practice Address |
2222 North Nevada Avenue Suite 4001 Colorado Springs CO 80907 |
| Mailing Address |
2 South Cascade Avenue Suite 140 Colorado Springs CO 80903-1604 |
| Practice Telephone | 7196369393 |
| Practice Fax Number | 7196369087 |
| Mailing Telephone | 7195382900 |
| Mailing Fax Number | 7195382961 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0992147-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN.0992147-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652082 | Jennifer Rose Martin | Registered Nurse | 12 Tompkins St Apt 2, Staten Island, NY 10304-2617 | 2020-09-01 |
| 1386105625 | Jennifer Urbaniak Martin | Health Educator | 12724 Gran Bay Pkwy W Ste 150, Jacksonville, FL 32258-9486 | 2019-03-28 |
| 1831660430 | Jennifer Asher Martin | Nurse Practitioner | 4920 E 6th St, Cheyenne, WY 82001-6930 | 2018-12-08 |
| 1497262208 | Jennifer Martin | Psychologist | 2031 Sheridan Rd, Highland Park, IL 60035-2401 | 2018-01-02 |
| 1861846842 | Jennifer Nicole Martin | Licensed Vocational Nurse | 8621 Forest Highlands Dr, Plano, TX 75024-7712 | 2016-04-15 |
| 1881064061 | Jennifer Louise Martin | Chiropractor | 73741 Highway 111, Palm Desert, CA 92260-4016 | 2015-10-01 |
| 1104214824 | Jennifer Dawn Martin | Counselor | 495 E Mound St Ste 110, Columbus, OH 43215-5596 | 2015-01-05 |
| 1104223890 | Jennifer Martin | Psychologist | 1624 Nw 6th St, Gainesville, FL 32609-3530 | 2014-11-25 |
| 1538560826 | Jennifer Martin | Counselor | 56 Ginger Dr, Lumberton, NJ 08048-4204 | 2014-09-05 |
| 1639581135 | Jennifer Claire Martin | Social Worker | 41 Selwyn Rd, Asheville, NC 28806-1418 | 2014-06-02 |
| Street Address |
2222 NORTH NEVADA AVENUE SUITE 4001 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591384 | John Lindley Frerichs | Surgery | 2222 North Nevada Avenue, Suite 5017, Colorado Springs, CO 80907-6865 | 2006-01-06 |
| 1982095089 | Gina Kaufman | Nurse Practitioner | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2015-02-10 |
| 1336555796 | Lisa Galaider | Hospitalist | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2014-07-07 |
| 1912341793 | Albert Hor | Internal Medicine | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2013-04-23 |
| 1417290032 | Jacqueline Mitongo Kabongo | Internal Medicine | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2013-04-02 |
| 1093066243 | Lindsay Maye Mcclurg | Physician Assistant | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2012-09-27 |
| 1730442518 | Wajahat U Khan | Internal Medicine | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2012-06-18 |
| 1972607067 | Joseph Patrick Moore | Internal Medicine | 2222 North Nevada Avenue, Suite 5001, Colorado Springs, CO 80907-6865 | 2006-09-11 |
| 1093731432 | Benjamin Arthur Delano | Surgery | 2222 North Nevada Avenue, Suite 5017, Colorado Springs, CO 80907-6865 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902439029 | Michelle R Straight | Nurse Practitioner | 4141 Pony Tracks Dr, Colorado Springs, CO 80922-3065 | 2020-02-17 |
| 1376918722 | Rhiannon Lori Sunday | Nurse Practitioner | 8890 N. Union Blvd., Suite 185, Colorado Springs, CO 80920 | 2015-12-10 |
| 1992145734 | Stewart C Eldridge | Nurse Practitioner | 6947 Metropolitan St, Colorado Springs, CO 80911-2715 | 2013-06-25 |
| 1629630728 | Veronica Misko | Nurse Practitioner | 2312 N Nevada Ave Ste 305, Colorado Springs, CO 80907-5318 | 2019-06-28 |
| 1780111740 | Amy Dean Kammerzell | Nurse Practitioner | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2017-05-21 |
| 1497138267 | Ashley Pyne Read | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2015-06-29 |
| 1598856346 | Stephanie Jo Brown | Nurse Practitioner | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-09-27 |
| 1184649071 | Christine Cousineau | Nurse Practitioner | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-07-13 |
| 1346285806 | Susan Paige Atwood | Nurse Practitioner | 825 E Pikes Peak Ave, Colorado Springs, CO 80903-3631 | 2006-06-18 |
| 1326041492 | Carolyn K Hackett | Nurse Practitioner | 175 S Union Blvd, Suite # 350, Colorado Springs, CO 80910-3113 | 2005-05-23 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on JENNIFER MAE 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.