KELLY A MARTINEZ


Address: 28 Crescent St, Middletown, CT 06457-3654
Phone: 8603584720

KELLY A MARTINEZ (NPI# 1346504081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346504081
Entity Type Individual
Full Name KELLY A MARTINEZ
Credential APRN
Practice Address 28 Crescent St
Middletown
CT 06457-3654
Practice Telephone 8603584720
Practice Fax Number 8603586271
Mailing Telephone 8603584720
Mailing Fax Number 8603586271
Enumeration Date 2012-06-27
Last Update Date 2012-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
004959 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT CT LIC # 004959 01

Other Providers KELLY MARTINEZ

NPI Name Taxonomy Address Enumeration
1811519606 Kelly L Martinez Nurse Practitioner 5 Stewart Cir, Centereach, NY 11720-2847 2020-05-14
1114427309 Kelly Michelle Martinez Nurse Practitioner 2006 Broadway St Ste 101, Pearland, TX 77581-5559 2018-02-14
1740458439 Kelly E Martinez Occupational Therapy Assistant 6960 Destiny Dr Ste 117, Rocklin, CA 95677-2995 2008-02-14
1972560274 Kelly Martinez Surgery 2608 Brockton Dr, Austin, TX 78758-4414 2006-04-28
1558898924 Kelly Liset Martinez Social Worker 2345 Sand Lake Rd Ste 200, Orlando, FL 32809-9140 2017-05-17
1588057285 Kelly Martinez Speech-Language Pathologist 23734 Valencia Blvd Ste 304, Valencia, CA 91355-5369 2015-03-05
1063616639 Kelly Ann Martinez Obstetrics & Gynecology 150 Valpreda Rd, San Marcos, CA 92069-2973 2007-06-14
1871623090 Kelly Siomara Martinez Marriage & Family Therapist 2309 Daly St, Los Angeles, CA 90031-2230 2007-03-06

Office Location

Street Address 28 CRESCENT ST
City MIDDLETOWN
State CT
Zip Code 06457-3654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790788859 Eric B Neadel Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2005-05-23
1861001729 Adrianne Lynn Wyckoff Registered Nurse 28 Crescent St, Middletown, CT 06457-3650 2020-07-27
1639791577 Peder Johnsen Nurse Practitioner 28 Crescent St, Middletown, CT 06457-3654 2020-05-14
1275171530 Lisa Ann Tringali Recreation Therapist 28 Crescent St, Middletown, CT 06457-3654 2019-12-18
1528600160 Antonella Rosa Sferrazza Counselor 28 Crescent St, Middletown, CT 06457-3654 2019-10-15
1548801830 Michael Tammaro Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2019-10-08
1699240705 Mary Theresa Doyle Social Worker 28 Crescent St, Middletown, CT 06457-3650 2018-10-05
1649761040 Emily Eklof Nurse Practitioner 28 Crescent St, Middletown, CT 06457 2018-05-22
1285141077 Christine O'grady Social Worker 28 Crescent St, Middletown, CT 06457-3654 2018-01-03
1871022293 Jacqueline Mary Atkinson Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2017-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1932710126 Miesha Sarah Stokely Nurse Practitioner 10 Atwood Dr, Middletown, NY 10940-2539 2020-08-12
1801413919 Stacey Ward Nurse Practitioner 1055 Summit Dr., Middletown, OH 45042 2020-07-06
1316563869 Alexa Rae Steenbruggen Nurse Practitioner 8 Gossets Turn Dr, Middletown, RI 02842-7900 2020-06-21
1942832472 Courtney Killin Nurse Practitioner 506 Gladys Dr, Middletown, OH 45044-4825 2020-02-12
1174085575 Adenike Yetunde Awotundun Nurse Practitioner 1020 N Union St Apt 204, Middletown, PA 17057-2158 2019-04-03
1447722095 Cheryl Roman Nurse Practitioner 15 Southview W, Middletown, NJ 07748-2416 2018-12-20
1083191076 Johnita Hendricks Nurse Practitioner 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 2018-07-23
1881146702 Oluyemisi A Okudele Nurse Practitioner 11 Little Cir, Middletown, DE 19709-7956 2016-10-26
1629523816 Lavinda Mcauliffe Nurse Practitioner 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 2016-08-17
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Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

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.

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