CHANDRA MARTIN (NPI# 1396376661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396376661 |
| Entity Type | Individual |
| Full Name | CHANDRA MARTIN |
| Credential | PA-S |
| Practice Address |
5935 Dolittle Dr Garden City KS 67846-8110 |
| Practice Telephone | 6203978235 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5935 DOLITTLE DR |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-8110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| 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 |
|---|---|---|---|---|
| 1588129134 | Krista Nicole Johnson | Student in an Organized Health Care Education/Training Program | 32701 E 283rd St, Garden City, MO 64747-8346 | 2019-02-07 |
| 1376077420 | Zerwa Farooq | Student in an Organized Health Care Education/Training Program | 126 Meadow St, Garden City, NY 11530-6600 | 2017-04-16 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1811525629 | Christopher David Liao | Student in an Organized Health Care Education/Training Program | 999 Franklin Ave, Garden City, NY 11530-2913 | 2020-03-28 |
| 1316502651 | Olukunle Oreyemi-rire Olumuyiwa | Student in an Organized Health Care Education/Training Program | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-05-02 |
| 1013571470 | Ankur Singal | Student in an Organized Health Care Education/Training Program | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2019-04-30 |
| 1245627280 | Navya Chundu | Student in an Organized Health Care Education/Training Program | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2015-04-16 |
| 1306006176 | Gaetano Pannella | Student in an Organized Health Care Education/Training Program | 1001 Franklin Ave, Suite 106, Garden City, NY 11530-2925 | 2008-06-14 |
| 1912186875 | Meredith Anne Lazar-antman | Student in an Organized Health Care Education/Training Program | 1300 Franklin Ave, Suite Ul 3a and B, Garden City, NY 11530-1886 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758901 | Matthew Michael Buhrle | Student in an Organized Health Care Education/Training Program | 3029 Sherman Ave, Hays, KS 67601-2040 | 2020-10-25 |
| 1275131245 | Michelle Sugimura | Student in an Organized Health Care Education/Training Program | 426 Olive St Apt 2, Leavenworth, KS 66048-2749 | 2020-10-13 |
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1992314678 | Kelcey Odaniel | Student in an Organized Health Care Education/Training Program | 9321 Ballentine St, Overland Park, KS 66214-1810 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1144845645 | Sri Harsha Kanuri | Student in an Organized Health Care Education/Training Program | 5100 W 119th St Ste 200, Overland Park, KS 66209-1527 | 2020-06-10 |
| 1831713429 | Guerrero Ivan Lopez | Student in an Organized Health Care Education/Training Program | 206 N Higgins Ave, Macksville, KS 67557-5761 | 2020-05-30 |
| 1598389215 | Alexandra K Jewell | Student in an Organized Health Care Education/Training Program | 13136 Birch St, Overland Park, KS 66209-2918 | 2020-05-29 |
| 1235753880 | Danika Marie Burton | Student in an Organized Health Care Education/Training Program | 1511 Cortez Ave, Coffeyville, KS 67337-1044 | 2020-05-29 |
| 1043833791 | Ryan David Brantley | Student in an Organized Health Care Education/Training Program | 1202 W 24th Ave Unit A, Hutchinson, KS 67502-3491 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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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.