MS. JELESA SHANEICE MARTIN (NPI# 1922423326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922423326 |
| Entity Type | Individual |
| Full Name | MS. JELESA SHANEICE MARTIN |
| Other Name | JELESA WILLIAMS |
| Credential | NP |
| Practice Address |
907 11th St Ne Jasper AL 35504-8821 |
| Mailing Address |
1509 Dulles Dr Lafayette LA 70506-3718 |
| Practice Telephone | 2052219111 |
| Mailing Telephone | 3379919276 |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-131026 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
907 11TH ST NE |
| City | JASPER |
| State | AL |
| Zip Code | 35504-8821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265536304 | Ridgeview Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 907 11th St Ne, Jasper, AL 35504-8821 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378163 | Lisa Marie Roper | Speech-Language Pathologist | 910 Oakhill Road, Jasper, AL 35504 | 2010-10-18 |
| 1730234402 | Tricounty Mental Retardation | Case Management | 85 N Walston Bridge Road, Jasper, AL 35504 | 2007-01-24 |
| 1396804688 | Tricounty Mental Retardation | Case Management | 85 No Walstron Bridge Roadd, Jasper, AL 35504 | 2006-12-06 |
| 1255417234 | Clydia Renee Fisher | Social Worker | 1200 Beacon Ln, Jasper, AL 35504 | 2006-10-31 |
| 1265538508 | Taibele Karen Wesley | Optometrist | 205 Oakhill Rd, Ste A, Jasper, AL 35504 | 2006-09-15 |
| 1003918467 | James David Aswell | Dentist | 441 The Mall Way, Jasper, AL 35504 | 2006-09-05 |
| 1114937950 | Concerned Citizens for Our Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1200 Beacon Lane, Jasper, AL 35504 | 2006-08-08 |
| 1740228725 | Southern Care Inc | Registered Nurse | 4330 Hwy 78 East, Ste 210 & 211, Jasper, AL 35504 | 2006-06-03 |
| 1023201258 | Walker Women's Specialists | Specialist | 304 Blackwell Dairy Rd, Jasper, AL 35504 | 2007-08-21 |
| 1386774321 | Deanna Leann Oliver | Counselor | 1200 Beacon Lane, Jasper, AL 35504 | 2007-03-07 |
| Find all providers in zip 35504 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1134604457 | Thomas Reagan Graffagnino | Nurse Practitioner | 494 Springhill St Ste 100, Jasper, TX 75951-5055 | 2018-10-02 |
| 1972810679 | Cassandra S Kern-fuhs | Nurse Practitioner | 819 Wernsing Rd, Jasper, IN 47546-8141 | 2010-09-02 |
| 1003445297 | Vicki Wetter | Nurse Practitioner | 10650 Sw 46th St, Jasper, FL 32052-3732 | 2020-04-08 |
| 1316409451 | Aleena Herrick | Nurse Practitioner | 220 J L White Dr Ste 150, Jasper, GA 30143-4895 | 2019-04-05 |
| 1871016436 | Erica Paige Hall | Nurse Practitioner | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2017-07-25 |
| 1811410954 | Brynna Chivaune Hamilton | Nurse Practitioner | 980 Highway 28 Ste 200, Jasper, TN 37347-3744 | 2017-07-20 |
| 1437683224 | Stephanie E. Tyson | Nurse Practitioner | 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 | 2017-04-18 |
| 1194184408 | Brooke B Childers | Nurse Practitioner | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2016-02-15 |
| 1255725917 | Tiffany W Oliver | Nurse Practitioner | 2201 N Airport Rd, Jasper, AL 35504-7058 | 2015-03-20 |
| Find all providers in JASPER | ||||
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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.