MIRENDA MARTIN (NPI# 1407209075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407209075 |
| Entity Type | Individual |
| Full Name | MIRENDA MARTIN |
| Credential | APRN |
| Practice Address |
507 N Main Street Salem Family Clinic 507 N Main Street Salem AR 72576 |
| Mailing Address |
Po Box 189 Po Box 189 Salem AR 72576-0189 |
| Practice Telephone | 8708952541 |
| Mailing Telephone | 8708952541 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
A004739 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
507 N MAIN STREET SALEM FAMILY CLINIC 507 N MAIN STREET |
| City | SALEM |
| State | AR |
| Zip Code | 72576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
| 1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
| 1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
| 1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
| 1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| Find all providers in zip 72576 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699941 | Michelle Kathleen Auld | Clinical Nurse Specialist | 120 Adcock Rd, Suite D, Hot Springs, AR 71913-8184 | 2016-10-06 |
| 1023461076 | Linda Dukes | Clinical Nurse Specialist | 3564 Albert Pike Rd, Hot Springs, AR 71913-9542 | 2016-07-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1720482482 | Ozark Wellness Clinic Pllc | Clinical Nurse Specialist | 102 W College St, Ozark, AR 72949-2850 | 2014-10-09 |
| 1376538090 | Marie Pham-russell | Clinical Nurse Specialist | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2005-09-19 |
| 1114534369 | Madison Birdno | Clinical Nurse Specialist | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2020-09-30 |
| 1083148522 | Blakely Edmund | Clinical Nurse Specialist | 4301 W Markham St, Breast Cancer Clinic, Little Rock, AR 72205-7101 | 2017-04-11 |
| 1356884647 | Stephanie Hulett | Clinical Nurse Specialist | 700 S 52nd St, Rogers, AR 72758-8605 | 2016-11-18 |
| 1346693710 | Jennifer Sue Conry Jones | Clinical Nurse Specialist | 180 Medical Park Pl, Ste. 101, Hot Springs, AR 71901-8065 | 2016-07-20 |
| 1104293018 | Jillian Harris | Clinical Nurse Specialist | 1605 2nd St, Earle, AR 72331-1634 | 2015-08-26 |
| 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.