ANDREW MARTIN (NPI# 1265064026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265064026 |
| Entity Type | Individual |
| Full Name | ANDREW MARTIN |
| Credential | PMHNP |
| Practice Address |
902 S 6th St Council Bluffs IA 51501-6441 |
| Mailing Address |
6511 Dutch Hall Rd Omaha NE 68152-1049 |
| Practice Telephone | 7123251990 |
| Mailing Telephone | 4023068110 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G157858 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978217 | Andrew Martin | Pharmacist | 800 Washington St # 420, Boston, MA 02111-1552 | 2020-03-23 |
| 1063873149 | Andrew Martin | Health Educator | 1915 S 25th Ave, Maywood, IL 60153-2825 | 2016-03-16 |
| 1275955510 | Andrew Martin | Counselor | 3701 Riverside Dr Apt 5, Tulsa, OK 74105-3059 | 2014-01-06 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1912274317 | Andrew Charles Martin | Physical Therapist | 1608 S 24th Ave, Suite 102, Yakima, WA 98902-5719 | 2011-11-30 |
| 1780813568 | Andrew P Martin | Dentist | 844 South Marion Avenue, Lake City, FL 32025 | 2009-07-14 |
| 1417007345 | Andrew S Martin | Specialist | 5546 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-7692 | 2007-01-11 |
| 1164590923 | Andrew Lee Martin | Psychologist | 9 Charlton St, Princeton, NJ 08540 | 2006-12-01 |
| 1740354950 | Andrew Ryan Martin | Internal Medicine | 8164 Nw 122nd Ln, Parkland, FL 33076-4938 | 2006-11-20 |
| 1104883693 | Andrew J Martin | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-04-27 |
| Street Address |
902 S 6TH ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114906906 | All Care Health Center | Clinic/Center | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2006-01-11 |
| 1881156578 | Michele Clair | Social Worker | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2019-04-02 |
| 1619489747 | Chao Zhang | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2017-10-30 |
| 1891204871 | Ann Brook Rogers | Registered Nurse | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2017-09-22 |
| 1992214076 | Erin Ruth Merrell | Registered Nurse | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2017-09-21 |
| 1821499757 | Jodi Kathleen Reese | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2014-09-10 |
| 1124461363 | All Care Health Center | Pharmacy | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2013-04-08 |
| 1982980884 | Jolynn Ahmann | Pharmacist | 902 S 6th St, Council Bluffs, IA 51501-3509 | 2011-10-24 |
| 1356638910 | Jennifer Michelle Black | Dentist | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2011-07-05 |
| 1205169273 | Teresa Ann Roth-dowling | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124062161 | Kimberly Kay Anderson | Nurse Practitioner | 800 Mercy Dr # 210, Council Bluffs, IA 51503-3128 | 2006-06-16 |
| 1902299779 | Laura Howe | Nurse Practitioner | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2015-03-18 |
| 1093944233 | Marcia L. Hopkins | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2009-07-09 |
| 1952333437 | Patricia Ann Hardt | Nurse Practitioner | 500 Willow Ave, Ste 501, Council Bluffs, IA 51503-0807 | 2006-07-07 |
| 1801839444 | James Davin Dickerson | Nurse Practitioner | 300 W Broadway, Council Bluffs, IA 51503-9045 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
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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.