SAMMY MARTINEZ (NPI# 1225492960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225492960 |
| Entity Type | Individual |
| Full Name | SAMMY MARTINEZ |
| Credential | 164W00000X |
| Practice Address |
9040 Jackson Avenue Jblm WA 98431 |
| Mailing Address |
9040 Jackson Avenue Madigan Army Medical Center Jblm WA 98431 |
| Practice Telephone | 2539680758 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 317949 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598169930 | Sammy Martinez | Community Based Residential Treatment Facility, Mental Illness | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2014-10-14 |
| 1104148469 | Sammy L Martinez | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2010-02-26 |
| Street Address |
9040 JACKSON AVENUE |
| City | JBLM |
| State | WA |
| Zip Code | 98431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164699567 | Justin Philip Sterne | Pediatrics | 9040 Jackson Avenue, Mamc, Jblm, WA 98431 | 2008-05-14 |
| 1982762316 | Munawar P. Mumtaz | Family Medicine | 9040 Jackson Avenue, Jblm, WA 98431-1100 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163424 | Joseph Mbote | Licensed Practical Nurse | 1017 W 17th St, Port Angeles, WA 98363-7435 | 2020-10-29 |
| 1942808332 | Christine S Kruger | Licensed Practical Nurse | 103 E Main St Ste 304, Walla Walla, WA 99362-1900 | 2020-10-16 |
| 1346857422 | Robert Gitonga | Licensed Practical Nurse | 3206 94th St S, Lakewood, WA 98499-3553 | 2020-09-23 |
| 1366058869 | Ruth Wakarima Martineau | Licensed Practical Nurse | 2100 S 336th St, Federal Way, WA 98003-8961 | 2020-09-20 |
| 1275143570 | Hiljay Homes Inc | Licensed Practical Nurse | 111 Nw 203rd St, Shoreline, WA 98177-2019 | 2020-08-03 |
| 1437767050 | Kimberley Damian | Licensed Practical Nurse | 1902 E Kessler Blvd, Longview, WA 98632-1844 | 2020-07-20 |
| 1649897505 | Erin Day | Licensed Practical Nurse | 12101 Daphne Ln Nw Apt B108, Silverdale, WA 98383-8680 | 2020-06-26 |
| 1003432782 | Jayde M Wright | Licensed Practical Nurse | 638 12th St, Washougal, WA 98671-1309 | 2020-06-18 |
| 1225652597 | Caesar Mburu | Licensed Practical Nurse | 4607 Sw 327th St, Federal Way, WA 98023-1901 | 2020-06-03 |
| 1922629427 | Helen Kigonya Babirye I | Licensed Practical Nurse | 9625 Croft St S, Tacoma, WA 98444-6533 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
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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.