SHELLEY MARIE MARTIN (NPI# 1134244015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134244015 |
| Entity Type | Individual |
| Full Name | SHELLEY MARIE MARTIN |
| Other Name | SHELLEY MARIE CARTER |
| Practice Address |
1596 Highway 33 South New Tazewell TN 37825 |
| Mailing Address |
Department 888182 Knoxville TN 37995-8182 |
| Practice Telephone | 4236268271 |
| Practice Fax Number | 4236260688 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457677395 | Shelley Martin | Marriage & Family Therapist | 7471 Rudell Rd, Corona, CA 92881-4278 | 2010-04-16 |
| 1871670968 | Shelley L Martin | Chiropractor | 2855 Lawrenceville Suwanee Rd, Suite 760-318, Suwanee, GA 30024-3563 | 2006-11-01 |
| 1659464246 | Shelley L Martin | Physician Assistant | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2006-10-02 |
| 1427079177 | Shelley Martin | Pediatrics | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2006-07-21 |
| 1770572539 | Shelley Martin | Nurse Anesthetist, Certified Registered | 17207 Kuykendahl Rd, Suite 200, Spring, TX 77379-8423 | 2005-10-14 |
| Street Address |
1596 HIGHWAY 33 SOUTH |
| City | NEW TAZEWELL |
| State | TN |
| Zip Code | 37825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
| 1023297124 | Kay Rose | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-10-25 |
| 1376743674 | Pamela Gibbs Wenger | Registered Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-07-24 |
| 1629282827 | Shari Lynn Mason | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-05-09 |
| 1760515811 | Katherine Teresa Smith | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-14 |
| 1043343072 | Tina K Barnett | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-13 |
| 1467583401 | Glenda Lee Wilder | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-09 |
| 1265563209 | Linda Sue Osborne | Registered Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
| 1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
| 1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
| 1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
| 1083169171 | Haley Henard Debusk | Physician Assistant | 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 | 2016-08-18 |
| 1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
| 1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
| 1235275124 | Carole Ann Dunifer | Registered Nurse | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2007-01-29 |
| 1346736048 | Gabrielle Nicole Harp | Nurse's Aide | 620 Davis Dr, New Tazewell, TN 37825-2152 | 2018-07-05 |
| Find all providers in zip 37825 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1023297124 | Kay Rose | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-10-25 |
| 1629282827 | Shari Lynn Mason | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-05-09 |
| 1760515811 | Katherine Teresa Smith | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-14 |
| 1043343072 | Tina K Barnett | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-13 |
| 1467583401 | Glenda Lee Wilder | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1124635941 | Faye G Grubb | Case Manager/Care Coordinator | 338 Headrickview Dr, Maryville, TN 37804-3878 | 2020-09-25 |
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1003449166 | Jonathan Hill | Case Manager/Care Coordinator | 310 W 3rd North St Bldg 1, Morristown, TN 37814-4038 | 2020-02-18 |
| 1982246773 | Solutionology Health | Case Manager/Care Coordinator | 3174 Lower Lick Creek Rd, Linden, TN 37096-5314 | 2019-10-13 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1316590201 | James Eugene Jones | Case Manager/Care Coordinator | 312 Brandiwood Ct, Old Hickory, TN 37138-4219 | 2019-07-19 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1972060010 | Gloria Ensign-o'neal | Case Manager/Care Coordinator | 3741 Southbend Dr, Murfreesboro, TN 37128-5100 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | NEW TAZEWELL |
| Zip Code | 37825 |
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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.