MRS. JACQUELINE E MARTIN (NPI# 1114208089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114208089 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE E MARTIN |
| Credential | MS, RD, CDN |
| Practice Address |
13 Avenue Louise Massapequa Park NY 11762-3207 |
| Practice Telephone | 5162363984 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
006357 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
13 AVENUE LOUISE |
| City | MASSAPEQUA PARK |
| State | NY |
| Zip Code | 11762-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280374 | Rachel Eljashev | Ophthalmology | 115 Charles Ave, Massapequa Park, NY 11762 | 2018-10-01 |
| 1366937567 | Samantha Marie Larosa | Social Worker | 652 Willoughby Avenue, Bushwick, NY 11762 | 2018-06-29 |
| 1023532447 | Hugo H Lopez | Counselor | 4770 Sunrise Highway, Massapequa Park, NY 11762 | 2017-07-27 |
| 1891155735 | Kayla Marie Vanguilder | Counselor | 208 Grover Ave W, Massapequa Park, NY 11762 | 2016-03-04 |
| 1093191009 | Mary Margaret Zeller | Case Management | 7 Townhouse Dr, Massapequa Park, NY 11762 | 2015-08-03 |
| 1114323250 | Kristen Price | Occupational Therapist | 21 Herbert Ave, Massapequa Park, NY 11762 | 2014-11-18 |
| 1871902296 | Suzanna Lynn Diaquoi | Registered Nurse | 24 Brendan Avenue, Massapequa Park, NY 11762 | 2014-08-11 |
| 1649605338 | Stacey Leo | Behavioral Analyst | 190 S Park Dr, Massapequa Park, NY 11762 | 2013-09-12 |
| 1255685459 | Jennifer M Salorio | Speech-Language Pathologist | 29 Westwood Rd S, Massapequa Park, NY 11762 | 2012-11-09 |
| 1962759803 | Erica Lori Brown | Specialist | 145 Eastgate Road, Massapequa Park, NY 11762 | 2012-08-09 |
| Find all providers in zip 11762 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750829305 | Maureen Elizabeth Ferrino | Dietitian, Registered | 8160 Lake Shore Rd, Angola, NY 14006-9762 | 2017-02-03 |
| 1386009736 | Brianna Meghan Burghard | Dietitian, Registered | Hsc 11 Rm 048, Stony Brook, NY 11794-8111 | 2015-12-29 |
| 1720450695 | Rachel Hochstadt | Dietitian, Registered | 22202 Town Green Dr, Elmsford, NY 10523-1685 | 2015-10-30 |
| 1497168678 | Danielle Viola | Dietitian, Registered | 34 Crestone Rd, Albany, NY 12205-3209 | 2014-06-05 |
| 1548686132 | Osarose Izevbizua | Dietitian, Registered | 500 Peconic St Apt 96a, Ronkonkoma, NY 11779-7124 | 2014-03-06 |
| 1194085191 | Dina Nicole Worley | Dietitian, Registered | 938 Remington Dr, North Tonawanda, NY 14120-2947 | 2012-05-23 |
| 1073894945 | Angela Maria Schettino | Dietitian, Registered | 3730 Bernard Dr, Wantagh, NY 11793-1650 | 2011-09-06 |
| 1902040868 | Maria Dinglasan Kaufer | Dietitian, Registered | 11150 75th Rd, Suite 35a, Forest Hills, NY 11375-6332 | 2009-04-22 |
| 1235384223 | Susan Lee Phillips | Dietitian, Registered | 6 Jodi Ct, Glen Cove, NY 11542-1479 | 2008-11-18 |
| 1356594303 | Margaret Jeanne Ruzzi | Dietitian, Registered | 22 Clovewood Rd, High Falls, NY 12440-5523 | 2008-11-03 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA PARK |
| Zip Code | 11762 |
Please comment or provide details below to improve the information on MRS. JACQUELINE E 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.