MARYANN MARTIN (NPI# 1578550935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550935 |
| Entity Type | Individual |
| Full Name | MARYANN MARTIN |
| Credential | N.P. |
| Practice Address |
1051 Port Malabar Blvd Ne Suite 6, Port Malabar Professional Bldg Palm Bay FL 32905-5153 |
| Practice Telephone | 3217279063 |
| Mailing Telephone | 3217279063 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9168017 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669911541 | Maryann Martin | Nurse Practitioner | 901 Harborside Drive, Galveston, TX 77550 | 2017-02-13 |
| 1417331380 | Maryann Martin | Counselor | 3907 S 186th Ln, Goodyear, AZ 85338-7641 | 2015-07-10 |
| 1184248460 | Maryann Laethem Martin | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy Ste 1000, Dallas, TX 75243-1288 | 2020-06-03 |
| 1992340913 | Maryann Martin | Physical Therapy Assistant | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-11-13 |
| Street Address |
1051 PORT MALABAR BLVD NE SUITE 6, PORT MALABAR PROFESSIONAL BLDG |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970091 | Kristina Galligan | Dentist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2014-07-16 |
| 1164782553 | Perdue Chiropractic Center, LLC | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2012-05-21 |
| 1174899041 | Martin Jacobson, D.c., P.a. | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2012-03-26 |
| 1295032654 | Perdue Chiropractic Center, P.a. | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2011-02-22 |
| 1285799791 | Medical Associates of Brevard LLC | Clinic/Center | 1051 Port Malabar Blvd Ne, # 9, Palm Bay, FL 32905-5153 | 2006-12-26 |
| 1922169788 | Jack Rosenkrantz | Dentist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-12-13 |
| 1922169325 | David Hernandez | Dentist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-12-12 |
| 1346326899 | Mahesh M Soni | Pediatrics | 1051 Port Malabar Blvd Ne, Suite 9, Palm Bay, FL 32905-5153 | 2006-10-27 |
| 1366530727 | Christopher Michael Allen | Optometrist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-10-11 |
| 1427144930 | Lawrence Reginald Perdue | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417336 | Priscilla Nunes Medeiros | Nurse Practitioner | 540 Tuttle Ct Se, Palm Bay, FL 32909-6682 | 2019-10-03 |
| 1700437050 | Rachel Mccleve | Nurse Practitioner | 20 San Filippo Dr Se, Palm Bay, FL 32909-2200 | 2019-09-26 |
| 1811480643 | Michael William Stainton | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
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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.