LISA MARIE GODFREY MARTIN (NPI# 1427319052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427319052 |
Entity Type | Individual |
Full Name | LISA MARIE GODFREY MARTIN |
Credential | PHD |
Practice Address |
206 W 1st Ave Ellensburg WA 98926-3002 |
Mailing Address |
Po Box 1533 Ellensburg WA 98926-1908 |
Practice Telephone | 5092011616 |
Practice Fax Number | 8447556412 |
Mailing Telephone | 5098564998 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2017-12-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 60253453 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598300857 | Lisa Marie Martin | Social Worker | 1720 N King St, Hampton, VA 23669-1910 | 2019-11-11 |
1508322033 | Lisa Martin | Licensed Practical Nurse | 582 Hawthorne Hts, Lawrenceburg, IN 47025-7956 | 2019-02-20 |
1477022929 | Lisa Martin | Social Worker | 161 Pond View Dr, Port Washington, NY 11050-2468 | 2018-11-14 |
1881053544 | Lisa Martin | Nurse Practitioner | 3201 S 7 Hwy, Blue Springs, MO 64014-5301 | 2016-02-23 |
1396127916 | Lisa Martin | Occupational Therapist | 76 Beard Dr, New Milford, CT 06776-3716 | 2015-06-19 |
1427494376 | Lisa Kay Martin | Nurse's Aide | 8275 96th Ave, Vero Beach, FL 32967-3848 | 2013-05-20 |
1730420134 | Lisa Marie Martin | Acupuncturist | 201 Auburn Way N Ste A1, Auburn, WA 98002-5062 | 2013-03-09 |
1376864603 | Lisa T Martin | Physical Therapist | 110 Pleasant Ave S, Park Rapids, MN 56470-1415 | 2010-06-22 |
1003139684 | Lisa Brown Martin | Pharmacist | 1710 Shelby Oaks Dr N, Ste 1, Memphis, TN 38134-7403 | 2010-03-10 |
1760715916 | Lisa G. Martin | Counselor | 255a S Camino Del Pueblo, Bernalillo, NM 87004-5973 | 2009-09-04 |
Street Address |
206 W 1ST AVE |
City | ELLENSBURG |
State | WA |
Zip Code | 98926-3002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356842785 | Valley Psychological Services | Psychologist | 206 W 1st Ave, Ellensburg, WA 98926-3002 | 2018-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
Find all providers in zip 98926 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598196305 | Amal Abuzalaf Mull | Psychologist | 1206 N Dolarway Rd Ste 201, Ellensburg, WA 98926-8392 | 2013-12-04 |
1386836138 | Marcia Ellen Rorty | Psychologist | 103 E 4th Ave Ste 208b, Ellensburg, WA 98926-3189 | 2007-08-15 |
1912380692 | Carolyn Sims Cleveland | Psychologist | 400 E University Way, Student Medical and Counseling Clinic, Ellensburg, WA 98926-7502 | 2015-06-30 |
1275685810 | James W Cole | Psychologist | 413 N Main St, Ste A, Ellensburg, WA 98926-3183 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
Find all providers with the same taxonomy |
City | ELLENSBURG |
Zip Code | 98926 |
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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.