MARY ANNE MARTIN (NPI# 1962489658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962489658 |
Entity Type | Individual |
Full Name | MARY ANNE MARTIN |
Other Name | MARY ANNE MARTIN BARRY |
Credential | NP |
Practice Address |
216 Lafayette St Schenectady NY 12305-2408 |
Mailing Address |
1462 Erie Blvd Suite 2 Schenectady NY 12305-1026 |
Practice Telephone | 5182433300 |
Practice Fax Number | 5183779151 |
Mailing Telephone | 5182431500 |
Enumeration Date | 2005-12-23 |
Last Update Date | 2020-01-29 |
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 |
400240 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | FIDELIS | 050322000010 | 01 |
NY | CAQH | 11488383 | 01 |
NY | MVP | 4129368 | 01 |
NY | BLUE CROSS | 000408304001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790926384 | Mary Anne Martin | Occupational Therapist | 9 Covered Bridge Rd, 9 Covered Bridge Rd., Warwick, NY 10990-2807 | 2009-03-12 |
1891109070 | Mary Anne Martin | Licensed Practical Nurse | 454 N University Dr, Rockford, IL 61107-5323 | 2014-06-16 |
Street Address |
216 LAFAYETTE ST |
City | SCHENECTADY |
State | NY |
Zip Code | 12305-2408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760468011 | Edwin Carlton Eggleston | Counselor | 216 Lafayette St, Schenectady, NY 12305-2408 | 2005-12-19 |
1144762154 | J'amille Lukes | Social Worker | 216 Lafayette St, Schenectady, NY 12305-2408 | 2016-11-08 |
1306388327 | Patrick Hosey | Social Worker | 216 Lafayette St, Schenectady, NY 12305-2408 | 2016-11-08 |
1073964599 | Judy Wheeler | Registered Nurse | 216 Lafayette St, Schenectady, NY 12305-2408 | 2016-06-27 |
1427406545 | Carolyn Marshall | Social Worker | 216 Lafayette St, Schenectady, NY 12305-2408 | 2016-05-31 |
1447619317 | Timothy C Moon | Case Manager/Care Coordinator | 216 Lafayette St, Schenectady, NY 12305-2408 | 2016-02-19 |
1174998132 | Annette Mclaughlin | Case Manager/Care Coordinator | 216 Lafayette St, Schenectady, NY 12305-2408 | 2015-12-02 |
1881078954 | Michelle Johnson | Social Worker | 216 Lafayette St, Schenectady, NY 12305-2408 | 2015-07-17 |
1578947206 | Marissa Townsend | Social Worker | 216 Lafayette St, Schenectady, NY 12305-2408 | 2015-07-13 |
1588057707 | Caroline Cody | Social Worker | 216 Lafayette St, Schenectady, NY 12305-2408 | 2015-03-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598282527 | Alexa Eugena Cinque | Chiropractor | 252 Union St, Schenectady, NY 12305 | 2017-08-30 |
1245778778 | Owanna Akbur | Radiologic Technologist | 752 Bolivar Ave., Torre G-32, Apt. A-2, La Esperilla, SANTO DOMINGO 12305 | 2017-02-04 |
1154777514 | Susan Mackert | Social Worker | 530 Franklin St Fl 2, Schenectady, NY 12305 | 2016-05-04 |
1285873513 | Kathleen Rzant Sheppard | Occupational Therapist | 25 Lafayette St., Beginnings, Schnectady, NY 12305 | 2009-02-10 |
1043461759 | Jane Stephanie Gray | Massage Therapist | 670 Franklin St., Schenectady, NY 12305 | 2008-10-01 |
1336283316 | Vision Care Associates | Optometrist | 600 Franklin Street, Suite 101, Schenectady, NY 12305 | 2007-02-16 |
1841360740 | Visiting Nurse Service Association of Schenectady County | Home Health | 108 Erie Blvd, Schenectady, NY 12305 | 2006-11-08 |
1275631814 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 415 State St Wallace Bldg, Schenectady, NY 12305 | 2006-09-20 |
1710953369 | Schenectady Ophthalmology Assoc PC | Ophthalmology | 650 Franklin St, Schenectady, NY 12305 | 2006-02-24 |
1861478786 | Kimberly A Hostig | Social Worker | 426 Franklin St, Schenectady, NY 12305 | 2005-12-22 |
Find all providers in zip 12305 |
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 |
---|---|---|---|---|
1669944146 | Margaret Peggy Lucas | Nurse Practitioner | 500 Balltown Rd Bldg 12d, Schenectady, NY 12304-2247 | 2018-12-21 |
1699061101 | Bella Dizon Rillo | Nurse Practitioner | 9001 Jennifer Ct, Schenectady, NY 12303-5074 | 2011-06-22 |
1770197329 | Justin James Alvis | Nurse Practitioner | 128 Birchwood Dr, Schenectady, NY 12303-5626 | 2020-09-01 |
1043828890 | Flor De Maria Arnold | Nurse Practitioner | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-07-17 |
1962032862 | Karen Carlotta Chonou | Nurse Practitioner | 504 State St, Schenectady, NY 12305-2414 | 2020-01-20 |
1154805752 | Kaitlynn A. Iadeluca | Nurse Practitioner | 1101 Nott St, Schenectady, NY 12308-2425 | 2018-09-19 |
1700387685 | Anna F Brady | Nurse Practitioner | 108 Education Dr, Schenectady, NY 12303-1238 | 2018-02-26 |
1073037040 | Carrie Marie Glans | Nurse Practitioner | 1311 Union Street, Schenectady, NY 12308 | 2017-08-01 |
1073034989 | Alexandra Olsiewski | Nurse Practitioner | 1101 Nott St, Schenectady, NY 12308-2425 | 2017-06-30 |
1356784862 | Stacia A Downey | Nurse Practitioner | 624 Mcclellan St, Schenectady, NY 12304-1020 | 2013-04-15 |
Find all providers in SCHENECTADY |
City | SCHENECTADY |
Zip Code | 12305 |
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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.