MRS. ANGELA FAYE MARTIN (NPI# 1689921587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689921587 |
Entity Type | Individual |
Full Name | MRS. ANGELA FAYE MARTIN |
Credential | PNP |
Practice Address |
3716 Melrose Ave Nw Roanoke VA 24017-2716 |
Practice Telephone | 5403620114 |
Practice Fax Number | 5403660087 |
Mailing Telephone | 5403620114 |
Mailing Fax Number | 5403660087 |
Enumeration Date | 2012-08-09 |
Last Update Date | 2013-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024170251 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770183899 | Angela Lakersha Martin | Contractor | 2810 Cyclorama Dr, Cincinnati, OH 45211-8330 | 2020-10-28 |
1073126371 | Angela C Martin | Technician | 3952 Teaberry Rd, Ronceverte, WV 24970-1582 | 2020-08-26 |
1528683984 | Angela R. Martin | Counselor | 13521 Old Highway 280 Ste 149, Birmingham, AL 35242-1406 | 2020-06-11 |
1952883811 | Angela Martin | Social Worker | 235 Whitestick St, Mabscott, WV 25871 | 2018-09-06 |
1386122919 | Angela Lynn Martin | Registered Nurse | 6315 Central City Blvd Apt 117, Galveston, TX 77551-3803 | 2018-08-06 |
1639655483 | Angela Martin | Behavior Technician | 413 S Regester St, Baltimore, MD 21231-2426 | 2018-07-16 |
1932502853 | Angela Martin | Counselor | 3408 Falkner Dr, Naperville, IL 60564-5140 | 2014-10-06 |
1508279480 | Angela Martin | Specialist/Technologist | 305 Ne Loop 280 Business Tower 1, Suite 200, Hurst, TX 76053 | 2014-06-09 |
1760803613 | Angela Martin | Early Intervention Provider Agency | 530 Grand St Apt D2b, New York, NY 10002-4250 | 2013-12-19 |
1477974400 | Angela J. Martin | Massage Therapist | 1319 Ne 134th St Ste 103, Vancouver, WA 98685-2718 | 2013-12-17 |
Street Address |
3716 MELROSE AVE NW |
City | ROANOKE |
State | VA |
Zip Code | 24017-2716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558369827 | Victor H Bell | Family Medicine | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2005-07-12 |
1245879642 | Kylie Ann Tangney | Pediatrics | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2020-01-02 |
1457996761 | Sabrina L Royall | Nurse Practitioner | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2019-11-11 |
1164084596 | Arti Patel | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2019-07-05 |
1720549769 | Nader Douglas Burpee | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2019-03-30 |
1164930046 | Laura Buennemeyer | Physician Assistant | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2018-01-13 |
1568976629 | Markeia Chenise Young | Counselor | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2017-11-28 |
1982124954 | Matthew Carl Hofrichter | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2017-06-21 |
1982132965 | Steven Matthew Woodard | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2017-06-02 |
1881122414 | Jessica Renee Dent | Counselor | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2017-05-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
Find all providers in zip 24017 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861783946 | Ryleigh Rebecca Young Smith | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2011-04-25 |
1992868657 | Pamela Ann Ruppel | Nurse Practitioner | 4800 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3406 | 2006-12-17 |
1285709956 | Carol A Huffman | Nurse Practitioner | 1201 3rd St Sw, Roanoke, VA 24016-4611 | 2006-11-21 |
1063433357 | Rebekah S Slocum | Nurse Practitioner | 1101 1st St Sw, Roanoke, VA 24016-4701 | 2006-07-21 |
1033751383 | Hannah B Smith | Nurse Practitioner | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2019-10-08 |
1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
1265921274 | Katherine Martin Shelor | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2018-05-04 |
1649722562 | Mary Riley | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2016-10-26 |
1093262164 | Whitney Wilkes | Nurse Practitioner | 102 Highland Ave Se Ste 404, Roanoke, VA 24013-2232 | 2016-09-07 |
1144560830 | Sarah F Shepherd | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2013-02-18 |
Find all providers in ROANOKE |
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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.