MS. DEBORAH CHRISTINE MARTIN (NPI# 1639384506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639384506 |
Entity Type | Individual |
Full Name | MS. DEBORAH CHRISTINE MARTIN |
Credential | RNC, NNP |
Practice Address |
9515 Holy Cross Ln Breese IL 62230-3618 |
Mailing Address |
125 Jardin Cercle Highland IL 62249-4708 |
Practice Telephone | 6185264511 |
Mailing Telephone | 6189788174 |
Enumeration Date | 2007-05-13 |
Last Update Date | 2015-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
209012640 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
112468 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487205779 | Deborah Martin | Technician | 1006 Shell Rock Rd, La Poete, TX 77571 | 2019-09-27 |
1326483397 | Deborah Louise Martin | Registered Nurse | 6800 Dorchester Rd, N Charleston, SC 29418-3736 | 2013-05-06 |
1689923781 | Deborah L Martin | Massage Therapist | 45 Serenity Lane, Jack's Creek Road, Lewistown, PA 17044 | 2012-09-05 |
1851564678 | Deborah Sue Martin | Speech-Language Pathologist | 317 Avon St, New London, WI 54961-1110 | 2008-04-13 |
1952590762 | Deborah Warwick Martin | General Practice | 2524 Frances Dr, Loveland, CO 80537-6966 | 2007-10-17 |
1851508519 | Deborah Lynn Martin | Optometrist | 27 Bellaire Dr, New Castle, PA 16105-1614 | 2007-05-16 |
1053456897 | Deborah Ann Martin | Pharmacist | 22981 Hall Rd, Woodhaven, MI 48183-1539 | 2007-02-20 |
1942354550 | Deborah Lynn Martin | Counselor | 111 Broad St, Eatontown, NJ 07724-1529 | 2007-01-22 |
1558326413 | Deborah A Martin | Surgery | 1400 Northside Forsyth Dr Ste 340, Cumming, GA 30041-6017 | 2006-04-20 |
1144228669 | Deborah Blakney Martin | Nurse Practitioner | 7235 Hacks Cross Rd, Olive Branch, MS 38654 | 2005-07-08 |
Street Address |
9515 HOLY CROSS LN |
City | BREESE |
State | IL |
Zip Code | 62230-3618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457319154 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | General Acute Care Hospital | 9515 Holy Cross Ln, Box 99, Breese, IL 62230-3618 | 2006-05-02 |
1013516897 | K and L Medical, LLC | Orthopaedic Surgery | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-10-22 |
1205469350 | St. Joseph's Hospital, Breese, of The Hospital Sisters of The Third Or | Clinic/Center | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-02-18 |
1548824592 | Dennis Joseph Riechman | Nurse Practitioner | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-25 |
1790349967 | Brandon Gebke | Nurse Anesthetist, Certified Registered | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-23 |
1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
1528560463 | Cep America Illinois Intensivists | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-03-07 |
1639678790 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-02-05 |
1437658622 | Cepamerica Illinois LLP | Emergency Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-02-02 |
1154845527 | Jeffrey Alan Wilhite | Specialist/Technologist | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2017-07-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
Find all providers in zip 62230 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699958843 | Jacqueline L. Kunz | Nurse Practitioner | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2007-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699381707 | Jamie Kaye Summers | Nurse Practitioner | 522 Clover Ct, Gibson City, IL 60936-1901 | 2020-09-23 |
1447697032 | Jessica Sue Krause | Nurse Practitioner | 1750 W Harrison St Fl 6, Chicago, IL 60612-3825 | 2013-05-23 |
1164798641 | Kate M Reed | Nurse Practitioner | 25 Thorndale Ct, South Elgin, IL 60177-3202 | 2012-03-28 |
1982975694 | Tiffany Amber Deriggi | Nurse Practitioner | 3831 N Sacramento Ave, Apt 1, Chicago, IL 60618-3530 | 2012-01-26 |
1154590214 | Patricia Mary Lumb | Nurse Practitioner | 2600 Children's Plaza, Chicago, IL 60614 | 2008-02-22 |
1841468139 | Mimi Noelle Hussussian | Nurse Practitioner | Children's Memorial Hospital, 2300children's Plaza, Box #253, Chicago, IL 60614 | 2008-02-20 |
1366610107 | Patricia Freeman Stevens | Nurse Practitioner | 316 N Park Rd, La Grange Park, IL 60526-1801 | 2008-02-14 |
1225250723 | Carolyn Patricia Seng | Nurse Practitioner | 5721 S. Maryland Ave, Chicago, IL 60637 | 2007-05-03 |
1487767117 | Robert Anthony Wisdom | Nurse Practitioner | 4444 S Prairie Ave, Chicago, IL 60653-3208 | 2006-08-16 |
1538771340 | Jennifer Aileen Burkett | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-21 |
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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.