MICHELLE JANANIA MARTINEZ (NPI# 1164836318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164836318 |
| Entity Type | Individual |
| Full Name | MICHELLE JANANIA MARTINEZ |
| Credential | M.D. |
| Practice Address |
1309 W 17th St Ste 101 Sioux Falls SD 57104-8805 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288000 |
| Practice Fax Number | 6053288001 |
| Mailing Telephone | 6053288000 |
| Mailing Fax Number | 6053288001 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1309 W 17th St Ste 101, Sioux Falls, SD 57104 | 6053288000 | 6053288001 |
| Street Address |
1309 W 17TH ST STE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285663757 | Michelle Renee Healy | Physician Assistant | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2006-06-30 |
| 1710482450 | Jill Waggoner | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2018-03-26 |
| 1376053678 | Lili Wat Wilson | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2017-10-02 |
| 1275042707 | Shauna Marie Jacobs | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2017-09-27 |
| 1164830865 | Matthew Graham | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-07-25 |
| 1245644780 | Jacqueline Kelley | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-06-12 |
| 1972844793 | Sanford Clinic | Pharmacy | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2013-03-04 |
| 1174881015 | Avigayil East | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2012-04-29 |
| 1548454291 | Steven Francis Powell | Internal Medicine | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2007-09-05 |
| 1184743148 | Keely Marie Hack | Internal Medicine | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1851915516 | Matthew John Lommen | Student in an Organized Health Care Education/Training Program | 308 E 18th St, Sioux Falls, SD 57104-5025 | 2020-05-28 |
| 1407484603 | Tej Ishaan Mehta | Student in an Organized Health Care Education/Training Program | 7840 S Townsley Ave Unit 5, Sioux Falls, SD 57108-7604 | 2020-04-01 |
| 1508497678 | Heather Joy Abels | Student in an Organized Health Care Education/Training Program | 3812 E Shepherd St, Sioux Falls, SD 57103-8615 | 2020-01-28 |
| 1518421155 | Ali Xiaoxing Hoffman | Student in an Organized Health Care Education/Training Program | 3700 S Slaten Park Dr, Sioux Falls, SD 57103-4633 | 2019-01-28 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1184079352 | Valerie Norris | Student in an Organized Health Care Education/Training Program | 1305 W 18th St # 5039, Sioux Falls, SD 57105-0401 | 2016-04-25 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on MICHELLE JANANIA MARTINEZ.
| 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.