MRS. CONNIE MCMICHAEL MARTIN (NPI# 1124260013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124260013 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE MCMICHAEL MARTIN |
| Credential | MS,RD,LD |
| Practice Address |
234 Goodwin Crest Dr Birmingham AL 35209-3701 |
| Practice Telephone | 2052904550 |
| Practice Fax Number | 2052904560 |
| Mailing Telephone | 2052904550 |
| Mailing Fax Number | 2052904560 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 901 | AL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568873958 | Connie Martin | Social Worker | 52847 Sandia Dr Unit 1, Fort Hood, TX 76544-1074 | 2014-05-19 |
| 1467757880 | Connie Ann Martin | Registered Nurse | 1044 Brookdale Dr, Crestline, OH 44827-9678 | 2011-01-14 |
| 1366692675 | Connie May Martin | Counselor | 620 E Court St, Atoka, OK 74525-3016 | 2008-09-23 |
| 1205960069 | Connie Ann Martin | Social Worker | R# 2 Box 119 A, Maysville, OK 73057-0842 | 2007-03-15 |
| 1730245648 | Connie Martin | Marriage & Family Therapist | 4565 Ruffner St Ste 110, San Diego, CA 92111-2258 | 2006-12-28 |
| 1467946137 | Connie M Martin | Community Health Worker | 9220 Mentor Ave, Mentor, OH 44060-6412 | 2018-06-18 |
| 1619335379 | Connie I. Martin | Specialist/Technologist, Other | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2016-02-09 |
| 1255760534 | Connie J Martin | Counselor | 1310 N Hearne Ave, Room 223, Shreveport, LA 71107-6516 | 2013-11-06 |
| 1275576167 | Connie Ann Martin | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2006-06-14 |
| Street Address |
234 GOODWIN CREST DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831294420 | Kristi Renneker | Physical Therapist | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2006-09-14 |
| 1518310044 | Christine Ann Jones | Registered Nurse | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2016-07-20 |
| 1518122043 | Karen Mckibbon Baggett | Speech-Language Pathologist | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2008-07-24 |
| 1073670063 | William Edward Ronilo Jr. | Physical Therapist | 234 Goodwin Crest Dr, Birmingham, AL 35209-3702 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374753 | Laura Gaston | Dietitian, Registered | 3000 Meadow Lake Dr Ste 111, Birmingham, AL 35242-0302 | 2019-06-06 |
| 1194292896 | Afiya Paige | Dietitian, Registered | 2612 Singapore Dr, Birmingham, AL 35211-6923 | 2018-10-31 |
| 1710473624 | Leigh Pritchett | Dietitian, Registered | 1201 11th Ave S Ste 515, Birmingham, AL 35205-3423 | 2018-07-03 |
| 1831604826 | Jennifer Rainie Carter | Dietitian, Registered | 2300 1st Ave N, Birmingham, AL 35203-4326 | 2017-12-12 |
| 1982121513 | St Vincents Ambulatory Healthcare Network LLC | Dietitian, Registered | 7191 Cahaba Valley Rd Ste 107, Birmingham, AL 35242-6443 | 2017-08-24 |
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1255875076 | Stephanie Grenert | Dietitian, Registered | 7160 Cahaba Valley Rd, Birmingham, AL 35242-6401 | 2016-12-13 |
| 1649642760 | Amy Claire Grisham | Dietitian, Registered | 2807 Greystone Commercial Blvd Ste 36, Birmingham, AL 35242-9601 | 2015-10-28 |
| 1811389091 | Kristi Sibert | Dietitian, Registered | 114 Ashford Cir, Birmingham, AL 35242-6829 | 2015-02-25 |
| 1467851220 | Susan Griffin | Dietitian, Registered | 1021 31st St S, Birmingham, AL 35205-1107 | 2014-08-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on MRS. CONNIE MCMICHAEL 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.