JACQUELINE C MARTIN (NPI# 1306180542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306180542 |
| Entity Type | Individual |
| Full Name | JACQUELINE C MARTIN |
| Other Name | JACQUELINE C ERCOLE |
| Credential | APRN |
| Practice Address |
26 Chamberlain Hwy Kensington CT 06037-1921 |
| Practice Telephone | 8608930040 |
| Practice Fax Number | 8608930046 |
| Mailing Telephone | 8608930040 |
| Mailing Fax Number | 8608930046 |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
005215 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008042980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114208089 | Jacqueline E Martin | Dietitian, Registered | 13 Avenue Louise, Massapequa Park, NY 11762-3207 | 2011-09-06 |
| 1912202045 | Jacqueline Marie Martin | Counselor | 194 Harvard St, Apt. 5, Rochester, NY 14607-3170 | 2011-01-21 |
| 1457587636 | Jacqueline Suzanne Martin | Massage Therapist | 10917 Cartagena Ave Sw, Albuquerque, NM 87121-8274 | 2009-06-02 |
| 1760620777 | Jacqueline Michelle Martin | Massage Therapist | 322 Moreno St, Las Vegas, NM 87701-3702 | 2009-01-29 |
| 1073667226 | Jacqueline Wilson Martin | Lodging | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-01-23 |
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1316569932 | Jacqueline Martin | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-05-18 |
| 1194282723 | Jacqueline Rose Martin | Counselor | 2755 E Desert Inn Rd Ste 250, Las Vegas, NV 89121-3610 | 2019-03-01 |
| 1841761343 | Jacqueline Sue Martin | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-12-09 |
| 1427544063 | Jacqueline Lillian Martin | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2018-07-06 |
| Street Address |
26 CHAMBERLAIN HWY |
| City | KENSINGTON |
| State | CT |
| Zip Code | 06037-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023126323 | Carol G. Lamson | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-08-27 |
| 1083963771 | Jason M. Perez | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2012-09-10 |
| 1972620961 | Paragon Behavioral Health, LLC | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1356468417 | Paragon Behavioral Health, LLC | Psychiatry & Neurology | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1023135019 | Paragon Behavioral Health, LLC | Psychologist | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1083731079 | Paragon Behavioral Health, LLC | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1912058751 | Erin Leah Martin | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-01-16 |
| 1144304791 | Barbara Ann Haymes Brien | Social Worker | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-24 |
| 1699858886 | Sue Barba | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-23 |
| 1255414751 | Gerson Marc Sternstein | Psychiatry & Neurology | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| 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 |
|---|---|---|---|---|
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1972620961 | Paragon Behavioral Health, LLC | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2007-03-23 |
| 1699858886 | Sue Barba | Nurse Practitioner | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | KENSINGTON |
| Zip Code | 06037 |
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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.