ELISABETH ANN MARTIN (NPI# 1528216462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528216462 |
| Entity Type | Individual |
| Full Name | ELISABETH ANN MARTIN |
| Practice Address |
17624 N 31st Ave Phoenix AZ 85053-1935 |
| Practice Telephone | 6024675910 |
| Practice Fax Number | 6024675980 |
| Mailing Telephone | 6024675910 |
| Mailing Fax Number | 6024675980 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN122417 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689717449 | Elisabeth Ann Martin | Registered Nurse | 18971 Harble Griffith Rd, Logan, OH 43138-9740 | 2007-02-14 |
| 1154807477 | Elisabeth Martin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 725 Welch Rd, Palo Alto, CA 94304 | 2018-07-19 |
| 1003211236 | Elisabeth Martin | Counselor | 6265 Sepulveda Blvd, Van Nuys, CA 91411-1114 | 2014-10-30 |
| Street Address |
17624 N 31ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033328216 | Stacey Leigh Coats | Registered Nurse | 17624 N 31st Ave, Phoenix, AZ 85053-1935 | 2007-05-22 |
| 1386027852 | Mountain Park Health Center | Clinic/Center | 17624 N 31st Ave, Phoenix, AZ 85053-1935 | 2015-07-02 |
| 1316126691 | Janet E O'brien | Registered Nurse | 17624 N 31st Ave, Phoenix, AZ 85053-1935 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235602699 | Sharon Gasch | Registered Nurse | 3905 E Monte Cristo Ave, Phoenix, AZ 85032-4065 | 2019-01-09 |
| 1477024461 | Rosie Higuera | Registered Nurse | 7731 W Flower St, Phoenix, AZ 85033-4944 | 2018-12-17 |
| 1588163687 | Alma Cecilia Elizarraraz | Registered Nurse | 1234 E Northern Ave, Phoenix, AZ 85020-4274 | 2018-02-05 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1598161416 | Elise Corriveau | Registered Nurse | 1611 W Fillmore St, Phoenix, AZ 85007-2214 | 2014-11-05 |
| 1356740088 | Soledad Villalobos | Registered Nurse | 14238 N 34th Way, Phoenix, AZ 85032-5340 | 2014-08-19 |
| 1982003034 | Staci Motley | Registered Nurse | 7150 N 22nd St, Phoenix, AZ 85020-5605 | 2014-08-14 |
| Find all providers in PHOENIX | ||||
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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.