STEPHANIE ANNE MARTIN (NPI# 1912568866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912568866 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANNE MARTIN |
| Credential | NP |
| Practice Address |
4700 Lady Moon Dr Fort Collins CO 80528-4426 |
| Practice Telephone | 9708214500 |
| Mailing Telephone | 9708214500 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0994769 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1568833275 | Stephanie K Martin | Acupuncturist | 1549 Josephine St, Berkeley, CA 94703-1168 | 2015-10-08 |
| 1851728158 | Stephanie Martin | Marriage & Family Therapist | 314 17th Ave N, Hopkins, MN 55343-7343 | 2013-10-01 |
| 1740523703 | Stephanie Nicole Martin | Technician | 8791 Hammerly Blvd Apt 128, Houston, TX 77080-6658 | 2013-03-28 |
| 1952661860 | Stephanie M Martin | Massage Therapist | 6066 Highway 291, Nine Mile Falls, WA 99026-5008 | 2012-05-24 |
| 1457675910 | Stephanie Martin | Occupational Therapist | 1430 E Madison St, South Bend, IN 46617-2427 | 2010-03-26 |
| 1720218241 | Stephanie Martin | Specialist | 4660 Highway 1275 N, Monticello, KY 42633-7241 | 2009-07-17 |
| 1801056213 | Stephanie Martin | Case Manager/Care Coordinator | 14343 White Cross Dr, Houston, TX 77083 | 2008-06-10 |
| 1295910123 | Stephanie Anne Martin | Audiologist | 983 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2008-01-09 |
| 1205025384 | Stephanie A Martin | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2007-10-15 |
| Street Address |
4700 LADY MOON DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1770192288 | Tracy J Hall | Registered Nurse | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-07-30 |
| 1568086890 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-06-02 |
| 1639705999 | Michelle Powers | Occupational Therapist | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-03-19 |
| 1659904357 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-02-20 |
| 1881166593 | Noco Newco, LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2018-12-19 |
| 1124532924 | Banner Health | Ambulance | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-12-01 |
| 1538688239 | Banner Fort Collins Medical Center | Clinical Medical Laboratory | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-09-13 |
| 1043673403 | Kymberlee Royals | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-04-03 |
| 1467812404 | Kristina Kinney | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275788069 | Stacey L O'hara | Nurse Practitioner | 802 W Drake Rd Ste 101, Fort Collins, CO 80526-5567 | 2008-11-21 |
| 1225402423 | Stephanie Leach | Nurse Practitioner | 1313 Riverside Ave, Fort Collins, CO 80524-4352 | 2015-11-25 |
| 1326457557 | Russell D Jones | Nurse Practitioner | 1025 Pennock Pl, Suite 121, Fort Collins, CO 80524-3257 | 2014-08-13 |
| 1679878409 | Amber Marie Vance | Nurse Practitioner | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2011-01-26 |
| 1336441021 | Kate C Odenwald | Nurse Practitioner | 1080 E Elizabeth St, Fort Collins, CO 80524-3953 | 2010-12-01 |
| 1689988529 | Jennifer Ann Wheeler | Nurse Practitioner | 2121 E Harmony Rd, Ste 100, Fort Collins, CO 80528-3400 | 2010-08-03 |
| 1073585279 | Angela K Burns | Nurse Practitioner | 2121 E Harmony Rd, Suite 361, Fort Collins, CO 80528-3400 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992176 | Misty Thomas | Nurse Practitioner | 50059 County Road 15, Wellington, CO 80549-1761 | 2020-11-03 |
| 1831799477 | Christopher Todd Hassinger | Nurse Practitioner | 3237 Osceola St, Denver, CO 80212-1741 | 2020-10-30 |
| 1225640113 | Melissa Diane Garth | Nurse Practitioner | 11912 Eudora Dr, Thornton, CO 80233-6406 | 2020-08-20 |
| 1568074672 | Arthur E Ilharreguy | Nurse Practitioner | 5565 Royal Pine St, Brighton, CO 80601-5370 | 2020-08-19 |
| 1154932481 | Leah Evans | Nurse Practitioner | 310 S Miller St, Lakewood, CO 80226-2659 | 2020-08-11 |
| 1982214136 | John Middleton Lariviere | Nurse Practitioner | 1375 Trenton St, Denver, CO 80220-3330 | 2020-08-03 |
| 1730797127 | Anne Elizabeth Kintop | Nurse Practitioner | 723 Steele St, Denver, CO 80206-3942 | 2020-07-21 |
| 1568070571 | Harrison Charles Lowell | Nurse Practitioner | 7756 S Flanders St, Centennial, CO 80016-1948 | 2020-07-15 |
| 1942824537 | Kimberly A Jones | Nurse Practitioner | 3210 N Franklin St, Denver, CO 80205-3903 | 2020-05-30 |
| 1346862893 | Camella Gullick | Nurse Practitioner | 590 Grey Squirrel Way, Franktown, CO 80116-8762 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on STEPHANIE ANNE MARTIN.
| 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.