ELENA A MARTIN (NPI# 1588209225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588209225 |
| Entity Type | Individual |
| Full Name | ELENA A MARTIN |
| Practice Address |
68 Willow Cir Ketchikan AK 99901-9530 |
| Mailing Address |
Po Box 6752 Ketchikan AK 99901-1752 |
| Practice Telephone | 9074012828 |
| Mailing Telephone | 9074012828 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
133296 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528521994 | Elena Martin | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-04-11 |
| 1235217738 | Elena Martin | Anesthesiology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| Street Address |
68 WILLOW CIR |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831744069 | Ruth Anne Bullock | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2019-08-05 |
| 1295213148 | Renee Danielle Murray | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2018-08-02 |
| 1154877389 | Brittany Joy Pope | Counselor | 4033 Tongass Ave, Ketchikan, AK 99901-5526 | 2016-08-28 |
| 1235265729 | Ruth A Spinner | Counselor | 3050 5th Ave, Ketchikan, AK 99901-5773 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1811502859 | Alaska Telemedicine Consultants Inc | Counselor | 12461 Gilead Way, Willow, AK 99699 | 2020-09-15 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1073121752 | Gina Thara Wall | Counselor | 17601 James Way, Eagle River, AK 99577-9254 | 2020-07-17 |
| 1154947893 | Jo Flesner | Counselor | 17101 Snowmobile Ln Ste 109, Eagle River, AK 99577-7043 | 2020-06-18 |
| 1437778602 | Kirklin Kinney | Counselor | 5801 E Bogard Rd, Wasilla, AK 99654-4267 | 2020-04-08 |
| 1144859703 | Gena Ruth Ornquist | Counselor | 1000 Josselin Ln, Palmer, AK 99645-7110 | 2020-04-06 |
| 1316587173 | Janet Daw | Counselor | 10714 Colville St, Eagle River, AK 99577-8287 | 2020-01-09 |
| 1841841723 | Danielle N Gutierrez | Counselor | 1528 Richardson Hwy Apt 3, North Pole, AK 99705-5967 | 2019-09-23 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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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.