JERRY MARTINEZ (NPI# 1821425554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821425554 |
| Entity Type | Individual |
| Full Name | JERRY MARTINEZ |
| Credential | LVN |
| Practice Address |
825 E Rundberg Ln Unit F Austin TX 78753-4808 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124724357 |
| Practice Fax Number | 5127031394 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 93147 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003269440 | Jerry Martinez | Contractor | 921 E Main Ave Ste 5, Alton, TX 78573-1606 | 2016-07-21 |
| 1528485299 | Jerry Martinez | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2014-03-19 |
| 1336305093 | Jerry Martinez | Psychologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2008-08-01 |
| 1669688248 | Jerry Anthony Martinez | Counselor | 1083 S Main St, Salinas, CA 93901-2323 | 2007-05-14 |
| Street Address |
825 E RUNDBERG LN UNIT F |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393308 | Yahira Aleman | Licensed Vocational Nurse | 10705 Casitas Dr, Austin, TX 78717-3872 | 2020-03-28 |
| 1245882810 | Shirley Jean Graves | Licensed Vocational Nurse | 401 S Park Dr, Austin, TX 78704-6346 | 2019-07-12 |
| 1457810558 | Bianca Danielle Brown | Licensed Vocational Nurse | 810 E Slaughter Ln Apt 11204, Austin, TX 78744-2139 | 2019-03-18 |
| 1174097059 | Amy Lynn Macafee | Licensed Vocational Nurse | 3737 Executive Center Dr Ste 250, Austin, TX 78731-1640 | 2019-01-14 |
| 1326513664 | Joseph Guptil Connors IIi | Licensed Vocational Nurse | 7409 Cedar Edge Dr, Austin, TX 78744-1705 | 2018-10-12 |
| 1881179240 | Clara Luz Loza | Licensed Vocational Nurse | 1165 Airport Blvd Fl 2, Austin, TX 78702-3152 | 2018-10-01 |
| 1922581693 | Beauty Uzoma Achonye | Licensed Vocational Nurse | 11024 Cairnhill Ct, Austin, TX 78754-2162 | 2018-09-10 |
| 1750862629 | Purity Thande Nash | Licensed Vocational Nurse | 11312 Barns Trl, Austin, TX 78754-6049 | 2018-08-28 |
| 1801377791 | Claudia Yanira Mireles | Licensed Vocational Nurse | 12041 Dessau Rd Apt 809, Austin, TX 78754-1710 | 2018-08-28 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| Find all providers in AUSTIN | ||||
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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.