LYNN MARTY (NPI# 1568435881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568435881 |
Entity Type | Individual |
Full Name | LYNN MARTY |
Credential | FNP |
Practice Address |
1500 Southwest Blvd Suite D Jefferson City MO 65109 |
Mailing Address |
1500 Southwest Blvd Suite D Capital Region Family Physicians Southwest Jefferson City MO 65109 |
Practice Telephone | 5736325780 |
Practice Fax Number | 5736325833 |
Mailing Telephone | 5736325780 |
Mailing Fax Number | 5736325833 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2012-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 067194 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HEALTHLINK | 338310 | 01 | |
MO | 42582680 | 05 | |
BLUE CROSS BLUE SHIELD | 114302 | 01 | |
CIGNA | 1098246 | 01 |
Street Address |
1500 SOUTHWEST BLVD SUITE D |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194722371 | Eric Caywood | Family Medicine | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2432 | 2005-07-04 |
1811338767 | Amy Harrell | Nurse Practitioner | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2472 | 2013-07-08 |
1942358866 | Capital Region Medical Center | Family Medicine | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2472 | 2007-01-08 |
1023081767 | Capital Region Medical Center | Clinic/Center | 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 | 2006-02-13 |
1124091285 | Capital Region Medical Center | Nurse Practitioner | 1500 Southwest Blvd, Ste D, Jefferson City, MO 65109 | 2006-02-09 |
1558334524 | Osvaldo Acosta-rodriguez | Physical Medicine & Rehabilitation | 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 | 2006-02-09 |
1639141195 | Robert W Power | Family Medicine | 1500 Southwest Blvd, Suite D, Jefferson City, MO 65109 | 2006-02-07 |
1093712275 | Dustin Warbritton | Family Medicine | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2432 | 2005-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
Find all providers in zip 65109 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629456355 | Sandra Brenner | Nurse Practitioner | 3308 W Edgewood Dr Ste B, Jefferson City, MO 65109-6891 | 2015-05-14 |
1366956963 | Molly J Omohundro | Nurse Practitioner | 3605 Country Club Dr, Jefferson City, MO 65109-1070 | 2017-11-20 |
1538685557 | Amanda Michelle Rodgers | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2017-08-22 |
1740720358 | Erin Briana Gerloff | Nurse Practitioner | 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 | 2017-03-01 |
1578921052 | Jalyn Nicole North | Nurse Practitioner | 999 Diamond Rdg, Jefferson City, MO 65109-6920 | 2016-01-29 |
1689031254 | Jillynn Rachele Hull | Nurse Practitioner | 2511 W Edgewood Dr, Suite G, Jefferson City, MO 65109-5869 | 2016-01-26 |
1366812794 | Jessica Carr | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2015-09-28 |
1699106286 | Radonna Wells | Nurse Practitioner | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2013-12-06 |
1811338767 | Amy Harrell | Nurse Practitioner | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2472 | 2013-07-08 |
1285974774 | Tricia D Temmen | Nurse Practitioner | 100 Saint Marys Plz, Jefferson City, MO 65101-1602 | 2013-02-21 |
Find all providers in JEFFERSON CITY |
City | JEFFERSON CITY |
Zip Code | 65109 |
Please comment or provide details below to improve the information on LYNN MARTY.
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.