BROOKE ELLYN MARTIN (NPI# 1841718871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841718871 |
| Entity Type | Individual |
| Full Name | BROOKE ELLYN MARTIN |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Mailing Address |
10970 Rocky Rd Bent Mountain VA 24059-2164 |
| Practice Telephone | 5402664037 |
| Mailing Telephone | 5402664037 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126002993 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 E College St, Bridgewater, VA 228121511 | 5408288000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741192 | Brooke Martin | Home Health Aide | 18500 Margareta St, Detroit, MI 48219-2932 | 2020-05-13 |
| 1033718796 | Brooke Martin | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-22 |
| 1194322982 | Brooke Nicole Martin | Physician Assistant | 1200 Brooks Ln Ste 170, Clairton, PA 15025-3759 | 2020-10-05 |
| 1477166791 | Brooke Martin | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2020-08-26 |
| 1427607753 | Brooke Cherie Martin | Nurse Practitioner | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2019-09-09 |
| 1518422419 | Brooke Stroud Martin | Chiropractor | 3204 Archdale Rd, Archdale, NC 27263-2710 | 2019-02-05 |
| 1558846998 | Brooke Lashea Martin | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2018-10-02 |
| 1548762818 | Brooke Martin | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2018-03-02 |
| 1760920094 | Brooke Martin | Physical Therapist | 10626 Clemson Blvd, Seneca, SC 29678-4526 | 2017-02-07 |
| 1689126526 | Brooke Martin | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2016-10-26 |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841721891 | Michelle Whittaker | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679772 | Chunandi Patel | Specialist/Technologist | 5221 Roselawn Rd, Roanoke, VA 24018-4158 | 2019-10-07 |
| 1821557836 | Haley Marie Dantzler | Specialist/Technologist | 4917 Appletree Dr, Roanoke, VA 24012-8539 | 2019-03-19 |
| 1790258739 | Sierra N Estep | Specialist/Technologist | 366 Hillside Ave, Roanoke, IN 46783-8815 | 2019-01-02 |
| 1104394378 | Emily Whitaker | Specialist/Technologist | 2315 Circle Dr Sw, Roanoke, VA 24018-2105 | 2018-11-06 |
| 1518491943 | Rachel Nicely | Specialist/Technologist | 5011 Orchard Park Dr, Roanoke, VA 24019-7449 | 2017-04-12 |
| 1831583780 | Lucas Ankenbruck | Specialist/Technologist | 7373 E Lakewood Dr-92, Roanoke, IN 46783-9236 | 2015-03-27 |
| 1003245986 | Matthew Nelson | Specialist/Technologist | 1818 Belleville Rd Sw, Roanoke, VA 24015-2708 | 2013-11-01 |
| 1225303076 | Kelly Ann Creasey | Specialist/Technologist | 7916 Williamson Rd, Roanoke, VA 24020-2002 | 2012-03-13 |
| 1700053832 | James Andrew Hargenrader | Specialist/Technologist | 5000 Titan Trl, Roanoke, VA 24018-3460 | 2008-05-08 |
| 1609083682 | Timothy Wayne Horsley | Specialist/Technologist | 121 Ellicott Dr., Roanoke, TX 76262 | 2007-05-17 |
| 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.