KIMBERLY A MARTINEZ (NPI# 1427018472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427018472 |
Entity Type | Individual |
Full Name | KIMBERLY A MARTINEZ |
Credential | CPNP |
Practice Address |
347 North Smith Avenue 401 Midwest Childrens Resource Center St Paul MN 55102 |
Mailing Address |
2910 Centre Pointe Drive 35 121a Childrens Health Care Roseville MN 55113 |
Practice Telephone | 6512206750 |
Practice Fax Number | 6512206770 |
Mailing Telephone | 6518552327 |
Mailing Fax Number | 6518552310 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R0980191 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477109213 | Kimberly Martinez | Behavior Technician | 23453 Lyons Ave, Valencia, CA 91355-3028 | 2019-08-16 |
1700442647 | Kimberly Gabrielle Martinez | Student in an Organized Health Care Education/Training Program | Carr 150 Ramal 5520 Km 0.9, Bo Cerro Gordo, Villalba, PR 00766 | 2019-05-16 |
1669974705 | Kimberly Martinez | Health Educator | 77 Michigan Ave E, Battle Creek, MI 49017-7029 | 2018-03-05 |
1376893495 | Kimberly Patricia Martinez | Licensed Vocational Nurse | 226 S Clovis Ave Apt 115, Fresno, CA 93727-4283 | 2012-09-17 |
1447536636 | Kimberly Marie Martinez | Physician Assistant | 832 Del Oro Lane., Suite 2, Pharr, TX 78577 | 2011-11-01 |
1083637680 | Kimberly Marie Martinez | Nurse Practitioner | 2700 Se Stratus Ave Unit 304, Mcminnville, OR 97128-6257 | 2006-07-25 |
1316568405 | Kimberly Ann Martinez | Nurse Anesthetist, Certified Registered | 26520 Cactus Ave, Moreno Valley, CA 92555 | 2020-04-30 |
1215562905 | Kimberly Anne Martinez | Social Worker | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-03-03 |
1336782515 | Kimberly Martinez | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2019-10-21 |
1346881794 | Kimberly Martinez | Behavior Technician | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2019-10-07 |
Street Address |
347 NORTH SMITH AVENUE 401 MIDWEST CHILDRENS RESOURCE CENTER |
City | ST PAUL |
State | MN |
Zip Code | 55102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225008527 | Julie Chu | Pediatrics | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-01-26 |
1033245980 | Rebekah A Forrest | Nurse Practitioner | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2007-02-26 |
1740369602 | Diane J Schmidt | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | 2006-11-03 |
1386723245 | Cathleen M Rock | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Neurology Stpl, St Paul, MN 55102 | 2006-11-03 |
1285713396 | Mylynda S Livingston | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-11-02 |
1437238540 | Jodie A Raymaker | Psychologist | 347 North Smith Avenue, Midwest Childrens Resource Center 401, St Paul, MN 55102 | 2006-11-02 |
1568566826 | John F Helminski | Psychologist | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-09-08 |
1215039268 | Vicki L Nauschultz | Psychologist | 347 North Smith Avenue, 401, St Paul, MN 55102 | 2006-09-01 |
1679686299 | Alyssa K Vang | Psychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 | 2006-08-17 |
1376656991 | Jeremy T Alden | Clinical Neuropsychologist | 347 North Smith Avenue, Childrens Specialty Clinic Psychological Services, St Paul, MN 55102 | 2006-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033470638 | Karla Lynn Hurtley | Nurse Practitioner | Children's Health Care, 345 North Smith Ave, St Paul, MN 55102 | 2012-05-31 |
1275503583 | Amy R Wein | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-01-26 |
1346241114 | Virginia M Mccarthy | Nurse Practitioner | Children's Primary Clinic - Stpl, 347 North Smith Avenue, St Paul, MN 55102 | 2005-08-03 |
1699731422 | Michele M Welte | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | 2006-04-21 |
1114988664 | Lynn M Taival | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu Follow Up Clinic, St Paul, MN 55102 | 2006-03-31 |
1871553883 | Kimberly A Jacobson | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-03-24 |
1013976554 | Nancy Entgelmeier | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 | 2006-03-22 |
1871552323 | Laurel D Edinburgh | Nurse Practitioner | 347 North Smith Avenue, #401, Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-03-22 |
1437125556 | Patricia A Stinchfield | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 | 2006-02-28 |
1114991288 | Kristin L Moquist | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-02-15 |
Find all providers in ST PAUL |
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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.