MARIE OLIVETTE MARTIN (NPI# 1912550054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912550054 |
Entity Type | Individual |
Full Name | MARIE OLIVETTE MARTIN |
Practice Address |
1 River St Wakefield RI 02879-3214 |
Mailing Address |
361 Beacon Dr North Kingstown RI 02852-4630 |
Practice Telephone | 4017830523 |
Mailing Telephone | 4015561944 |
Enumeration Date | 2019-07-18 |
Last Update Date | 2020-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN02163 | RI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 1912550054 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063083 | Marie C. Martin | Physical Therapist | 4775 Village Dr Ste A, Grand Ledge, MI 48837-8109 | 2020-05-05 |
1205229960 | Marie Elizabeth Martin | Licensed Vocational Nurse | 1564 Kay Ct, Paradise, CA 95969-4303 | 2015-03-05 |
1225431331 | Marie Strickland Martin | Registered Nurse | 5454 Reynolds Street, Savannah, GA 31405 | 2014-10-02 |
1174808786 | Marie Angelique Martin | Marriage & Family Therapist | 4121 Paseo Montanas, San Diego, CA 92130-2108 | 2011-10-14 |
1033254909 | Marie Deborah Martin | Nurse Practitioner | 1012 Sw King Ave Ste 305, Portland, OR 97205-1110 | 2007-02-20 |
1790705515 | Marie B Martin | Physician Assistant | 514 Idaho Drive, Medicine Bow, WY 82329-0037 | 2006-07-21 |
1891117685 | Marie Shirley Martin | Registered Nurse | 220 W Willow St, Bldg A, Lafayette, LA 70501-2837 | 2014-01-13 |
1477793941 | Marie Martin | Occupational Therapy Assistant | 1026 Cromwell Bridge Rd, Baltimore, MD 21286-3318 | 2009-02-24 |
1144474040 | Marie Ann Martin | Pharmacist | 5807 Main St, Springfield, OR 97478-6961 | 2008-11-05 |
1265689186 | Marie C Martin | Registered Nurse | 275 North Street, Harrison, NY 10528 | 2008-08-21 |
Street Address |
1 RIVER ST |
City | WAKEFIELD |
State | RI |
Zip Code | 02879-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104805431 | La Shun La Rue Carroll | Dentist | 1 River St, Wakefield, RI 02879-3214 | 2006-01-13 |
1245856814 | Amanda Mchugh | Student in an Organized Health Care Education/Training Program | 1 River St, Wakefield, RI 02879-3214 | 2020-06-19 |
1104440965 | Jeffrey W Bouley | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2020-06-07 |
1881223394 | Nickesha Romaine Mckenzie | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2020-04-06 |
1982234076 | Phoebe F Hall | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2020-01-17 |
1871140392 | Abby Kolb Landers | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2019-08-20 |
1740832922 | Emily Lauren Benson | Dentist | 1 River St, Wakefield, RI 02879-3214 | 2019-07-09 |
1104308204 | Virginia Curtis | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2018-09-05 |
1831683432 | Olivia Macaskill | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2018-06-18 |
1598266538 | Alison Wilkens | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2018-02-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
Find all providers in zip 02879 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770564106 | Maryann Abney | Nurse Practitioner | 24 Salt Pond Rd Ste H1, Wakefield, RI 02879-4337 | 2005-11-11 |
1104308204 | Virginia Curtis | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2018-09-05 |
1003105073 | Laura Davidson | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2011-03-30 |
1285938118 | Rachel Allen | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2011-01-07 |
1760450753 | Joan M Spencer | Nurse Practitioner | 70 Kenyon Ave, 326, Wakefield, RI 02879-4239 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215540042 | North Road Psychiatry LLC | Nurse Practitioner | 23 North Rd Ste A11, Peace Dale, RI 02879-8108 | 2020-08-31 |
1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
1174149686 | Goldline Health and Wellness LLC | Nurse Practitioner | 750 East Ave Lowr Level, Pawtucket, RI 02860-6245 | 2020-06-20 |
1215562566 | Katie Elizabeth Thayer | Nurse Practitioner | 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 | 2020-03-06 |
1477197820 | Jaron Keough | Nurse Practitioner | 232 Pawtucket Ave Apt 1, Pawtucket, RI 02860-5169 | 2019-10-29 |
1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
1306326202 | Samuel David Kaufman | Nurse Practitioner | 34 Rice Ave, E Providence, RI 02914-3147 | 2018-08-20 |
1205350980 | Tabitha Ann Imondi | Nurse Practitioner | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2017-08-03 |
1366983314 | Alyssa Pullan | Nurse Practitioner | 78 Courtney Ave, Pawtucket, RI 02861-3935 | 2017-03-10 |
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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.