STACY L MARTIN


Address: 1500 S Avenue K # 3, Portales, NM 88130-7400
Phone: 5755622160

STACY L MARTIN (NPI# 1710403514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710403514
Entity Type Individual
Full Name STACY L MARTIN
Practice Address 1500 S Avenue K # 3
Portales
NM 88130-7400
Practice Telephone 5755622160
Enumeration Date 2017-08-14
Last Update Date 2017-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers STACY MARTIN

NPI Name Taxonomy Address Enumeration
1932628385 Stacy Martin Counselor Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 2017-09-18
1699143784 Stacy Martin Physical Therapy Assistant 300 Strode Ave, Coatesville, PA 19320-2874 2015-09-08
1407239585 Stacy Martin Counselor 3e Cleveland Ct, Greenville, SC 29607-2414 2015-07-07
1730512567 Stacy Erin Martin Counselor 141 Loire Valley Dr, Pittsburgh, PA 15209-1070 2013-08-15
1013241264 Stacy Martin Counselor 251 Fleet St, Rankin, PA 15104-1150 2009-09-21
1295987162 Stacy A. Martin Social Worker 2005 Mclain St, Newport, AR 72112-3662 2008-10-22
1760688907 Stacy Martin Behavioral Analyst 882 Eastchester Dr, Gahanna, OH 43230-5137 2007-06-25
1992763569 Stacy D Martin Nurse Practitioner 1566 Pea Ridge Rd, Scottsville, KY 42164-7702 2006-05-03
1174132435 Stacy A Martin Nurse Practitioner 4896 Highway 90 Ste A, Marianna, FL 32446-7840 2020-07-23
1467950824 Stacy Angela Martin Case Manager/Care Coordinator 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 2018-01-30

Office Location

Street Address 1500 S AVENUE K # 3
City PORTALES
State NM
Zip Code 88130-7400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326567041 Caroline Marie Lucero Student in an Organized Health Care Education/Training Program 1500 S Avenue K # 3, Portales, NM 88130-7400 2017-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245861319 Cynthia Alarid Student in an Organized Health Care Education/Training Program 1500 S Ave K Station 3, Schroc, Portales, NM 88130 2020-01-28
1649800384 Gurveen Sandhu Student in an Organized Health Care Education/Training Program 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 2020-01-22
1740744226 Ashley Mcclelland Student in an Organized Health Care Education/Training Program 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 2019-01-29
1285103218 Jessica Dianne Terry Behavior Technician 743 S Hills Oak Rd, Portales, NM 88130 2018-11-20
1619445822 Jonna Smith Marriage & Family Therapist 44 S Roosevelt Road N, Portales, NM 88130 2018-11-06
1932689254 Carolina Yanez Student in an Organized Health Care Education/Training Program 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 2018-08-16
1033611918 Shelley Marie Laya Student in an Organized Health Care Education/Training Program 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 2018-03-06
1750800744 Sara Rose Mccarty Student in an Organized Health Care Education/Training Program 1500 S Ave K Station 3, Shro, Portales, NM 88130 2017-09-12
1528584463 Calli Bane Student in an Organized Health Care Education/Training Program 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 2017-08-22
1700302890 Victoria L Young Speech-Language Pathologist 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 2017-08-21
Find all providers in zip 88130

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245861319 Cynthia Alarid Student in an Organized Health Care Education/Training Program 1500 S Ave K Station 3, Schroc, Portales, NM 88130 2020-01-28
1649800384 Gurveen Sandhu Student in an Organized Health Care Education/Training Program 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 2020-01-22
1740744226 Ashley Mcclelland Student in an Organized Health Care Education/Training Program 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 2019-01-29
1932689254 Carolina Yanez Student in an Organized Health Care Education/Training Program 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 2018-08-16
1750800744 Sara Rose Mccarty Student in an Organized Health Care Education/Training Program 1500 S Ave K Station 3, Shro, Portales, NM 88130 2017-09-12
1528584463 Calli Bane Student in an Organized Health Care Education/Training Program 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 2017-08-22
1023534971 Hannah Floyd Student in an Organized Health Care Education/Training Program 1500 S Avenue K # 3 Shroc, Portales, NM 88130-7400 2017-08-22
1386160489 Raveena Bains Student in an Organized Health Care Education/Training Program 1500 S Avenue K, Station 3 Shroc, Portales, NM 95993 2017-08-21
1669998928 Amanda Eliza Ramirez Student in an Organized Health Care Education/Training Program 1500 S Ave K Station 3, Shroc, Portales, NM 88130 2017-08-18
1578089785 Sonny Militante Student in an Organized Health Care Education/Training Program 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 2017-08-18
Find all providers in PORTALES

Competitor

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City PORTALES
Zip Code 88130

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Dataset Information

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.

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