JESSICA LACY MARTIN (NPI# 1922453968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922453968 |
| Entity Type | Individual |
| Full Name | JESSICA LACY MARTIN |
| Credential | CRNP |
| Practice Address |
6140 6th St Chesapeake Beach MD 20732-4156 |
| Practice Telephone | 3016414768 |
| Mailing Telephone | 3016414768 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R201616 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1316570781 | Jessica Martin | Physical Therapist | 29811 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688-3612 | 2020-02-13 |
| 1841836541 | Jessica Nichole Martin | Peer Specialist | 320 S Hill St, Mooreland, OK 73852-9015 | 2019-11-18 |
| 1760045363 | Jessica Martin | Non-emergency Medical Transport (VAN) | 23342 Briarcreek Blvd, Spring, TX 77373-6279 | 2019-04-18 |
| 1457876187 | Jessica Martin | Specialist | 4429 Lake Ave, Lockport, NY 14094-1198 | 2017-08-03 |
| 1164871182 | Jessica Martin | Technician, Other | 28304 Pierce St, Southfield, MI 48076-7312 | 2016-06-09 |
| 1164894754 | Jessica E Martin | Counselor | 334 Hermitage Rd, Columbus, OH 43230-2862 | 2015-10-22 |
| 1033505136 | Jessica Leann Martin | Social Worker | 2305 Oid County Road, Pochahontas, AR 72455-4148 | 2015-04-15 |
| 1982007795 | Jessica Lynn Martin | Nurse Practitioner | 403 Ogletree Dr Ste 100, Livingston, TX 77351-9444 | 2014-10-07 |
| 1629407580 | Jessica Martin | Massage Therapist | 24 W Shadbolt St, Lake Orion, MI 48362-3170 | 2013-11-01 |
| Street Address |
6140 6TH ST |
| City | CHESAPEAKE BEACH |
| State | MD |
| Zip Code | 20732-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1639677339 | Sophia Carlton | Social Worker | District Center for Wellness, 201 4th St Se, Washington, DC 20732 | 2018-01-28 |
| 1578902078 | April Lynne Arford | Day Training, Developmentally Disabled Services | 8049 Windward Key Drive, Chesapeake Beach, MD 20732 | 2013-06-18 |
| 1215916598 | Calvert Substance Abuse Services - Beach | Substance Abuse Rehabilitation Facility | 3819 Harbor Rd., Suite 103, Chesapeake Beach, MD 20732 | 2006-01-13 |
| 1003899873 | Timothy Joseph O'leary | Pathology | 4755 Camp Roosevelt Drive, Chesapeake Beach, MD 20732 | 2005-11-24 |
| 1326401894 | Gwendolyn Redden | Physical Therapist | 8420 Bayside Rd, Chesapeake Beach, MD 20732 | 2016-04-01 |
| 1336505676 | Rebecca Mae Johnson | Specialist/Technologist | 8214 Elm Ln, Elm Lane, Chesapeake Beach, MD 20732-3018 | 2015-12-31 |
| 1871839308 | Vanessa Payne | Counselor | 3819 Harbor Rd, 103, Chesapeake Beach, MD 20732-3109 | 2013-01-03 |
| 1245782002 | Nimat Gawhar | Counselor | 3819 Harbor Rd, Chesapeake Beach, MD 20732-3109 | 2016-10-27 |
| 1962850743 | Calvert County Health Department | Clinic/Center | 3819 Harbor Rd, Suite 103, Chesapeake Beach, MD 20732-3109 | 2016-06-02 |
| Find all providers in zip 20732 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE BEACH |
| Zip Code | 20732 |
Please comment or provide details below to improve the information on JESSICA LACY 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.