MS. JACQUELINE MARIE MARTIN (NPI# 1023011434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023011434 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE MARIE MARTIN |
| Credential | CRNA, MS |
| Practice Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Mailing Address |
35 Killdeer Rd Hamden CT 06517-3529 |
| Practice Telephone | 2039325711 |
| Mailing Telephone | 2034073960 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2152 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114208089 | Jacqueline E Martin | Dietitian, Registered | 13 Avenue Louise, Massapequa Park, NY 11762-3207 | 2011-09-06 |
| 1912202045 | Jacqueline Marie Martin | Counselor | 194 Harvard St, Apt. 5, Rochester, NY 14607-3170 | 2011-01-21 |
| 1457587636 | Jacqueline Suzanne Martin | Massage Therapist | 10917 Cartagena Ave Sw, Albuquerque, NM 87121-8274 | 2009-06-02 |
| 1760620777 | Jacqueline Michelle Martin | Massage Therapist | 322 Moreno St, Las Vegas, NM 87701-3702 | 2009-01-29 |
| 1073667226 | Jacqueline Wilson Martin | Lodging | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-01-23 |
| 1316569932 | Jacqueline Martin | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-05-18 |
| 1194282723 | Jacqueline Rose Martin | Counselor | 2755 E Desert Inn Rd Ste 250, Las Vegas, NV 89121-3610 | 2019-03-01 |
| 1841761343 | Jacqueline Sue Martin | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-12-09 |
| 1427544063 | Jacqueline Lillian Martin | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2018-07-06 |
| 1508313610 | Jacqueline Martin | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2016-09-07 |
| Street Address |
950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728413 | Matthew Thomas Walsh | Physical Therapist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-19 |
| 1184221467 | Victoria Leigh Dasilva | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-08 |
| 1467069716 | Steven Lemieux | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-29 |
| 1629685581 | Ramandeep Kaur | Optometrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1972110864 | Lorena Rivera Mitchell | Social Worker | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1174139851 | Angela Haeny | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1225644966 | Neil Bidon | Registered Nurse | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1952916181 | Courtney Burgazli | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-14 |
| 1316552862 | Amanda Victoria Loomis | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| 1104431675 | Allison Rae Warren | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538272372 | James Stimpson | Nurse Anesthetist, Certified Registered | 3765 S 3650 W, West Haven, UT 84401-9373 | 2006-08-16 |
| 1700196359 | William Hancock | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2010-10-18 |
| 1013097591 | Evangeline Benoit | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-10-17 |
| 1902918964 | Kimberly Ann Winslow | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1245751130 | Eric Cheng | Nurse Anesthetist, Certified Registered | 3223 Town Rdg, Middletown, CT 06457-1652 | 2017-06-29 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1639530207 | Lisa Hedgepath Silvestrini | Nurse Anesthetist, Certified Registered | 800 Boston Post Rd, Guilford, CT 06437-2747 | 2016-03-10 |
| 1972968105 | Amanda Lee | Nurse Anesthetist, Certified Registered | 35 Tracey Ann Ct, Naugatuck, CT 06770-3465 | 2015-12-14 |
| 1437523354 | Kimberly Facchini | Nurse Anesthetist, Certified Registered | 464 Church Hill Rd, Trumbull, CT 06611-3839 | 2015-11-16 |
| 1700218955 | Julie Ann Espino | Nurse Anesthetist, Certified Registered | 1 Wades Lndg, New Milford, CT 06776-2666 | 2013-07-30 |
| 1386983088 | Anna Marie Delucia | Nurse Anesthetist, Certified Registered | 2692 Boston Post Rd, Guilford, CT 06437-1358 | 2013-01-31 |
| 1093088478 | Brandon H. Mcknight | Nurse Anesthetist, Certified Registered | 140 Grandview Ave Ste 103, Waterbury Anesthesiology Associates, Inc., Waterbury, CT 06708-2518 | 2012-02-16 |
| 1194001362 | Christina Marie Feller | Nurse Anesthetist, Certified Registered | 850 Grand Ave Unit 205, New Haven, CT 06511-4974 | 2011-11-01 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.