JESSICA SERENE MARTIN (NPI# 1417590589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417590589 |
| Entity Type | Individual |
| Full Name | JESSICA SERENE MARTIN |
| Practice Address |
212 N Court St Wayne WV 25570-1141 |
| Practice Telephone | 3042725116 |
| Practice Fax Number | 3042725993 |
| Mailing Telephone | 3042725116 |
| Mailing Fax Number | 3042725993 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
N3E143300096 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1316570781 | Jessica Martin | Physical Therapist | 29811 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688-3612 | 2020-02-13 |
| 1841836541 | Jessica Nichole Martin | Peer Specialist | 320 S Hill St, Mooreland, OK 73852-9015 | 2019-11-18 |
| 1760045363 | Jessica Martin | Non-emergency Medical Transport (VAN) | 23342 Briarcreek Blvd, Spring, TX 77373-6279 | 2019-04-18 |
| 1457876187 | Jessica Martin | Specialist | 4429 Lake Ave, Lockport, NY 14094-1198 | 2017-08-03 |
| 1164871182 | Jessica Martin | Technician, Other | 28304 Pierce St, Southfield, MI 48076-7312 | 2016-06-09 |
| 1922453968 | Jessica Lacy Martin | Nurse Practitioner | 6140 6th St, Chesapeake Beach, MD 20732-4156 | 2016-04-27 |
| 1164894754 | Jessica E Martin | Counselor | 334 Hermitage Rd, Columbus, OH 43230-2862 | 2015-10-22 |
| 1033505136 | Jessica Leann Martin | Social Worker | 2305 Oid County Road, Pochahontas, AR 72455-4148 | 2015-04-15 |
| 1982007795 | Jessica Lynn Martin | Nurse Practitioner | 403 Ogletree Dr Ste 100, Livingston, TX 77351-9444 | 2014-10-07 |
| Street Address |
212 N COURT ST |
| City | WAYNE |
| State | WV |
| Zip Code | 25570-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265631832 | Wayne County Board of Education | Local Education Agency (LEA) | 212 N Court St, Wayne, WV 25570 | 2007-07-13 |
| 1285280081 | Kelsey Ross | Psychologist | 212 N Court St, Wayne, WV 25570-1141 | 2019-08-16 |
| 1902376874 | Lucinda Jean Staley | Registered Nurse | 212 N Court St, Wayne, WV 25570-1141 | 2018-12-04 |
| 1063963536 | Wayne County Board of Education | Nursing Care | 212 N Court St, Wayne, WV 25570-1141 | 2016-10-20 |
| 1871042168 | Wayne County Board of Education | Nursing Care | 212 N Court St, Wayne, WV 25570-1141 | 2016-09-27 |
| 1780133074 | Wayne County Board of Education | Nursing Care | 212 N Court St, Wayne, WV 25570-1141 | 2016-09-27 |
| 1386192235 | Alexandria Mejia | Psychologist | 212 N Court St, Office of Special Programs, Wayne, WV 25570-1141 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586532 | Stephanie Michelle Turley | Technician | 207 Mary Davis Branch Road, Wayne, WV 25570 | 2020-10-22 |
| 1508463332 | Cheyann Marie White | Technician | 1317 Left Fork Wilson Creek Road, Wayne, WV 25570 | 2020-10-05 |
| 1619582483 | Joanna Wiley | Technician | 612 Wayne Street, Wayne, WV 25570 | 2020-09-09 |
| 1568076859 | Betty Perry | Technician | 3745 Big Branch Rd, Wayne, WV 25570 | 2020-09-03 |
| 1497367106 | Summer Susanna Bias | Technician | 150 Mose Asbury Road, Wayne, WV 25570 | 2020-08-24 |
| 1508475070 | Donnetta Sue Pratt | Case Manager/Care Coordinator | 1066 Little Lynn Creek Road, Wayne, WV 25570 | 2020-07-30 |
| 1508333659 | Tami Renee Harless | Technician | 112 Riverside Drive Dunrovin Estates, Wayne, WV 25570 | 2018-10-26 |
| 1457867137 | Sarah Minnie Skeens | Technician | 1030 Wilson Creek Road, Wayne, WV 25570 | 2017-12-18 |
| 1497261234 | Zelma Rae Toler | Technician | 112 Riverside Drive, Dunrovan Estate, Wayne, WV 25570 | 2017-12-15 |
| 1639684012 | Patricia Sue Adkins | Technician | 881 Toms Crk Rd, Wayne, WV 25570 | 2017-12-07 |
| Find all providers in zip 25570 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280081 | Kelsey Ross | Psychologist | 212 N Court St, Wayne, WV 25570-1141 | 2019-08-16 |
| 1386192235 | Alexandria Mejia | Psychologist | 212 N Court St, Office of Special Programs, Wayne, WV 25570-1141 | 2016-09-20 |
| 1558790436 | Angela Mellace | Psychologist | 212 North Court Street, Wayne, WV 25570 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1124570957 | Katie Hamm | Psychologist | 50 Underwood Cir, Mount Zion, WV 26151-8556 | 2016-10-27 |
| 1669922092 | Jonathan Shank | Psychologist | 813 Capitol St, Spencer, WV 25276-1924 | 2016-10-10 |
| 1255881082 | Lisha Tignor | Psychologist | 98 Carter Braxton Dr, Sutton, WV 26601-9592 | 2016-10-05 |
| 1437606068 | Tiffany Yancey | Psychologist | 197 Chestnut Street, Greenbrier County Schools, Lewisburg, WV 24901 | 2016-09-01 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1811355597 | New Beginnings Therapy Services, LLC | Psychologist | 220 S Walker St Ste A, Princeton, WV 24740-2747 | 2016-02-09 |
| 1104291681 | Ashley Booten | Psychologist | 501 22nd St, Dunbar, WV 25064-1711 | 2015-12-09 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1669875738 | Joe Testa | Psychologist | 34 Dorothy Ave, Wheeling, WV 26003-5217 | 2014-10-03 |
| 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.