LYNN MARTY


Address: 1500 Southwest Blvd, Suite D, Jefferson City, MO 65109
Phone: 5736325780

LYNN MARTY (NPI# 1568435881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 067194 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
HEALTHLINK 338310 01
MO 42582680 05
BLUE CROSS BLUE SHIELD 114302 01
CIGNA 1098246 01

Office Location

Street Address 1500 SOUTHWEST BLVD
SUITE D
City JEFFERSON CITY
State MO
Zip Code 65109

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City JEFFERSON CITY
Zip Code 65109

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Dataset Information

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.

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