MRS. STEPHANIE RAE MARTIN (NPI# 1427225093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427225093 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE RAE MARTIN |
| Credential | MSN, CNS, A.P.R.N. |
| Practice Address |
624 Market Ave N Canton OH 44702-1017 |
| Mailing Address |
260 Walnut Dr Medina OH 44256-2034 |
| Practice Telephone | 3304934553 |
| Practice Fax Number | 3304933761 |
| Mailing Telephone | 3303501291 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
APRN.CNS.03541 | OH | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
APRN.CNS.03541 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1568833275 | Stephanie K Martin | Acupuncturist | 1549 Josephine St, Berkeley, CA 94703-1168 | 2015-10-08 |
| 1851728158 | Stephanie Martin | Marriage & Family Therapist | 314 17th Ave N, Hopkins, MN 55343-7343 | 2013-10-01 |
| 1740523703 | Stephanie Nicole Martin | Technician | 8791 Hammerly Blvd Apt 128, Houston, TX 77080-6658 | 2013-03-28 |
| 1952661860 | Stephanie M Martin | Massage Therapist | 6066 Highway 291, Nine Mile Falls, WA 99026-5008 | 2012-05-24 |
| 1457675910 | Stephanie Martin | Occupational Therapist | 1430 E Madison St, South Bend, IN 46617-2427 | 2010-03-26 |
| 1720218241 | Stephanie Martin | Specialist | 4660 Highway 1275 N, Monticello, KY 42633-7241 | 2009-07-17 |
| 1801056213 | Stephanie Martin | Case Manager/Care Coordinator | 14343 White Cross Dr, Houston, TX 77083 | 2008-06-10 |
| 1295910123 | Stephanie Anne Martin | Audiologist | 983 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2008-01-09 |
| 1205025384 | Stephanie A Martin | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2007-10-15 |
| Street Address |
624 MARKET AVE N |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629034830 | Trillium Family Solutions Inc | Voluntary or Charitable | 624 Market Ave N, Canton, OH 44702-1017 | 2006-04-25 |
| 1376159467 | Alissa Kiefer | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1932715042 | Michelle Adkins | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1659987758 | Christine Pitts | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1508478165 | Abbie Eileen Ricketson | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1770195323 | Jack Cameron | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1336767565 | Sidney Cowart | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-07-14 |
| 1194347328 | Cianna A Dorando | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-05-11 |
| 1518588979 | Cynthia M Cox | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-04-27 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1962901595 | Amber Nichole Strong | Social Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-02-09 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1497842934 | Michele M. Valentino | Clinical Nurse Specialist | 733 Market Ave S, Canton, OH 44702-2165 | 2006-10-06 |
| 1821070020 | Lillie Burnett | Clinical Nurse Specialist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| 1770502288 | Roy P Walton | Clinical Nurse Specialist | 1301 Bellefontaine Ave, Lima, OH 45804-3121 | 2006-07-18 |
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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.