MRS. JACQUELINE WILSON MARTIN (NPI# 1073667226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667226 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE WILSON MARTIN |
| Practice Address |
538 Warriner St Reidsville NC 27320-3053 |
| Mailing Address |
210 S Van Buren Rd Eden NC 27288-5025 |
| Practice Telephone | 3363486902 |
| Mailing Telephone | 3365772173 |
| Mailing Fax Number | 3365891320 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | FCL-079-037 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803777 | 05 |
| 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 |
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 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 |
538 WARRINER ST |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306199617 | Caylee Place | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2012-10-24 |
| 1821308800 | Ashlee Place Adult Care | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2010-10-08 |
| 1023276110 | Ashley Place | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2008-05-27 |
| 1538382684 | Ashley's Place | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701903 | Another Chance: House of Refuge | Lodging | 1708 Chambers Dr Apt 15, Matthews, NC 28105-4782 | 2020-08-20 |
| 1003107277 | The Manor At Riverbrooke | Lodging | 3120 Tuckland Drive, Raleigh, NC 27610-5257 | 2011-04-22 |
| 1306161013 | Guiding Star Health Care Adult Group Home | Lodging | 2809 Huntington Ct, Rocky Mount, NC 27803-1641 | 2010-04-06 |
| 1285866319 | The Manor At Edgewater | Lodging | 1038 Stormy Ln, Raleigh, NC 27610-6074 | 2009-08-24 |
| 1528204286 | Kirk Matthew Ledoux | Lodging | 305 Causby Ln, Hendersonville, NC 28791-8721 | 2008-12-31 |
| 1114191921 | Carillon Assisted Living of Lincolnton, LLC | Lodging | 440 Salem Church Road, Lincolnton, NC 28092-8856 | 2008-04-14 |
| 1790966554 | The Manor At Coventry Creek | Lodging | 5124 Werribee Dr, Raleigh, NC 27616-5546 | 2007-11-21 |
| 1801081310 | Lee's Family Care Home | Lodging | 945 Vaiden Road, Louisburg, NC 27549-8096 | 2007-09-07 |
| 1467650036 | Pittman Family Care | Lodging | 47 Piney Haven Dr, Bakersville, NC 28705-0525 | 2007-07-05 |
| 1235334194 | Suzan Lynne Booker | Lodging | 1424 Huntdell Main Dr, Wendell, NC 27591-7254 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on MRS. JACQUELINE WILSON 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.