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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
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 |
Street Address |
1500 S AVENUE K # 3 |
City | PORTALES |
State | NM |
Zip Code | 88130-7400 |
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 |
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 Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
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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.