MRS. CHATINA SPEARS MARTIN (NPI# 1104387695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104387695 |
| Entity Type | Individual |
| Full Name | MRS. CHATINA SPEARS MARTIN |
| Credential | NP |
| Practice Address |
308 Melba Hill Dr Jackson MS 39209-2833 |
| Practice Telephone | 6016225620 |
| Mailing Telephone | 6016225620 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
903055 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
308 MELBA HILL DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1023656642 | Nicole Lynn Mckee | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | 2019-12-13 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1942649686 | Jennifer Annette Paulson | Nurse Practitioner | 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 | 2013-06-16 |
| 1770880171 | Tracy Little | Nurse Practitioner | 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 | 2011-02-21 |
| 1750554267 | Barbara Darlington | Nurse Practitioner | 14 Abes Way, Jackson, NJ 08527-4440 | 2008-04-04 |
| 1902075401 | Dana Leanne Wilhite | Nurse Practitioner | 38 Abbey Pl, Jackson, TN 38305-1794 | 2008-02-28 |
| 1659550036 | Kristen Elizabeth Tweedy | Nurse Practitioner | 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 | 2007-11-01 |
| 1104959345 | Lynne W Forrette | Nurse Practitioner | 255 New York Ranch Rd, Suite C, Jackson, CA 95642-2174 | 2007-03-14 |
| Find all providers in JACKSON | ||||
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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.