KATIE MARTIN (NPI# 1538576848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538576848 |
| Entity Type | Individual |
| Full Name | KATIE MARTIN |
| Credential | BA, MHP |
| Practice Address |
1412 Us Highway 45 N Eldorado IL 62930-3766 |
| Practice Telephone | 6182733326 |
| Practice Fax Number | 6182732808 |
| Mailing Telephone | 6182733326 |
| Mailing Fax Number | 6182732808 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386095511 | Katie Martin | Dentist | 13065 W Mcdowell Rd Ste A101, Avondale, AZ 85392 | 2016-06-29 |
| 1467849117 | Katie Martin | Counselor | 22 U.S. Oval, Suite 100, Plattsburgh, NY 12903-5901 | 2015-04-21 |
| 1750632626 | Katie Lynn Martin | Nurse Practitioner | 602 W Grand Pkwy S, Katy, TX 77494-8328 | 2012-10-02 |
| 1114532124 | Katie Martin | Advanced Practice Midwife | 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 | 2020-09-15 |
| 1487279352 | Katie E Martin | Pharmacist | Walgreens Pharmacy, 7804 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-06-16 |
| 1104479534 | Katie Martin | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-07-24 |
| 1477071009 | Katie Martin | Registered Nurse | 424 Savannah Road, Lewes, DE 19958 | 2017-09-04 |
| 1013432053 | Katie Martin | Physical Therapy Assistant | 10000 W 75th St Ste 250, Merriam, KS 66204-2218 | 2017-08-10 |
| 1417304890 | Katie Denise Morgan Martin | Counselor | 674 Highlands Rd, Franklin, NC 28734-9566 | 2016-05-16 |
| 1770970998 | Katie Martin | Internal Medicine | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2015-04-26 |
| Street Address |
1412 US HIGHWAY 45 N |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662605 | Egyptian Health Department | Community/Behavioral Health | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2005-07-12 |
| 1174136253 | Taylor Lauer | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2020-08-28 |
| 1699388793 | Zachary David Stearns | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2020-08-28 |
| 1639632417 | Sarah Dickinson | Psychologist | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-04-09 |
| 1619438058 | Heather Marie Lacey | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-28 |
| 1962963777 | Ernie Fowler | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-26 |
| 1225599160 | Kathryn Bangs | Psychologist | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-25 |
| 1689157646 | Egyptian Health Department | Case Manager/Care Coordinator | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2018-09-14 |
| 1790262822 | Jacqueline Jo Klossing | Early Intervention Provider Agency | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2018-07-21 |
| 1326551987 | Alyssa Payne | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| 1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
| 1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
| 1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| Find all providers in zip 62930 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962963777 | Ernie Fowler | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-26 |
| 1568879146 | Erin Kelly | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2014-07-16 |
| 1023382199 | Sherry Chrisman | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-03-06 |
| 1871867754 | Ellen M Basinger | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-02-24 |
| 1043584923 | Gary Hamilton | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-02-24 |
| 1942574827 | Stacey Miller | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-02-24 |
| 1154695047 | Paula L Thomas | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-02-24 |
| 1104190081 | Randall H Powell | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-02-24 |
| 1184994352 | Robert Wood | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
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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.