TIMOTHY MARTIN (NPI# 1154834703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154834703 |
| Entity Type | Individual |
| Full Name | TIMOTHY MARTIN |
| Practice Address |
109 S 2nd St Central City KY 42330-1505 |
| Mailing Address |
3999 Fort Campbell Blvd Hopkinsville KY 42240-4929 |
| Practice Telephone | 2709315113 |
| Practice Fax Number | 2707544633 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568677524 | Timothy Bruce Martin | Family Medicine | 20 Calypso Shrs, Novato, CA 94949-5309 | 2007-05-13 |
| 1306961487 | Timothy Ross Martin | Dentist | 1599 Fort Henry Drive, Kingsport, TN 37664 | 2007-03-20 |
| 1386716686 | Timothy Shane Martin | Family Medicine | 2110 N Willis St, Suite B, Abilene, TX 79603-4359 | 2006-11-14 |
| 1104998418 | Timothy L Martin | Counselor | 923 East Norfolk Ave, Norfolk, NE 68701 | 2006-11-14 |
| 1366486722 | Timothy J Martin | Internal Medicine | 1050 W 10th St Ste 500, Rolla, MO 65401 | 2006-06-16 |
| 1336601723 | Timothy Paul Martin | Nurse Practitioner | 281 W 4th St, Independence, LA 70443-2386 | 2019-04-03 |
| 1366902934 | Timothy Martin | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-03-21 |
| 1134688542 | Timothy Martin | Physical Therapist | 200 Petersville Rd Ste 3, New Rochelle, NY 10801-4465 | 2019-03-15 |
| 1790215754 | Timothy Martin | Social Worker | 90 Wagner Rd, Monaca, PA 15061-2489 | 2017-06-13 |
| 1487016572 | Timothy Charles Martin | Internal Medicine | 47 New Scotland Ave, Dept. of Medicine, Albany, NY 12208-3412 | 2016-03-28 |
| Street Address |
109 S 2ND ST |
| City | CENTRAL CITY |
| State | KY |
| Zip Code | 42330-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627369 | Ja'vonna Danielle Gott | Counselor | 109 S 2nd St, Central City, KY 42330-1505 | 2019-09-05 |
| 1316405467 | Renee Marie Braxton | Case Manager/Care Coordinator | 109 S 2nd St, Central City, KY 42330-1505 | 2019-03-07 |
| 1437662038 | Terri Schulze | Peer Specialist | 109 S 2nd St, Central City, KY 42330-1505 | 2017-11-06 |
| 1083084214 | Ava Allen | Counselor | 109 S 2nd St, Central City, KY 42330-1505 | 2015-09-30 |
| 1922423763 | Lori Humphries | Counselor | 109 S 2nd St, Central City, KY 42330 | 2014-03-04 |
| 1285058560 | Mallory Moore | Social Worker | 109 S 2nd St, Central City, KY 42330-1505 | 2014-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194200550 | Cross Services, Inc | Pharmacy | 1603 West Everly Brothers Blvd, Suite 2d, Central City, KY 42330 | 2018-10-01 |
| 1154679520 | Eades Family Dentistry | Dentist | 1603 W Everly Bros Blvd Suite 2a, Central City, KY 42330 | 2012-08-16 |
| 1760683874 | Holly Ann Courtney | Pharmacist | 102 West Broad Street, Central City, KY 42330 | 2007-05-29 |
| 1427274703 | Shirley Brewer Hunt | Dentist | 200 W Reservoir, Central City, KY 42330 | 2007-04-17 |
| 1053537332 | James Brewer Jr. | Dentist | 200 West Reservoir, Central City, KY 42330 | 2007-04-17 |
| 1861514226 | Carrie Lynn Mcpherson | Speech-Language Pathologist | 906 W Everly Brothers Blvd, Central City, KY 42330 | 2007-04-05 |
| 1134224140 | Gerald Wayne Joines II | Chiropractor | 1731 W Everly Bros Blvd, Central City, KY 42330 | 2006-09-14 |
| 1891800454 | David Scott Morehead | Dentist | 300 West Broad St, Central City, KY 42330 | 2006-08-21 |
| 1467823328 | A New Start II, LLC | Counselor | 222 Phillip Stone Way, Central City, KY 42330 | 2015-10-16 |
| 1255515748 | Muhlenberg County Health Dept | Public Health or Welfare | 1000 N Main St, Central City, KY 42330 | 2007-12-20 |
| Find all providers in zip 42330 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437662038 | Terri Schulze | Peer Specialist | 109 S 2nd St, Central City, KY 42330-1505 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1881291672 | W I N G S Community Support & Recovery Services | Peer Specialist | 401 N Miles St # B101, Elizabethtown, KY 42701-1834 | 2020-10-05 |
| 1881204212 | Kada Essig | Peer Specialist | 308 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-07-31 |
| 1427671957 | Barbara K Collier | Peer Specialist | 205 Mercer St, Elizabethtown, KY 42701-2731 | 2020-05-19 |
| 1316566813 | Sarah Clarkson Goff | Peer Specialist | 2655 Bardstown Rd, St Catharine, KY 40061 | 2020-04-14 |
| 1497383715 | Lawerence E Pickett | Peer Specialist | 537 Bellwood Dr, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1326676578 | April Roann Robertson | Peer Specialist | 207 Hillcrest Dr, Elizabethtown, KY 42701-1719 | 2020-03-31 |
| 1053949370 | Brad Williamson | Peer Specialist | 535 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2335 | 2020-03-31 |
| 1730717000 | Carolyn M Vance | Peer Specialist | 537 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1083242697 | Chelsea Blair | Peer Specialist | 413 E Dixie Ave, Elizabethtown, KY 42701-1162 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL CITY |
| Zip Code | 42330 |
Please comment or provide details below to improve the information on TIMOTHY 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.