MISS BRENDA JEAN MARTIN (NPI# 1578864328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578864328 |
| Entity Type | Individual |
| Full Name | MISS BRENDA JEAN MARTIN |
| Credential | PP, BA |
| Practice Address |
2401 Buena Vista Rd Columbus GA 31906-3142 |
| Practice Telephone | 7063237244 |
| Practice Fax Number | 7065960424 |
| Mailing Telephone | 7063237244 |
| Mailing Fax Number | 7065960424 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981700 | Brenda Kay Martin | Technician | 171 Chesapeake Rd, Fairmont, WV 26554-9699 | 2020-10-29 |
| 1689231813 | Brenda Martin | Student in an Organized Health Care Education/Training Program | 322 Woodlawn Dr, Fairborn, OH 45324-4137 | 2019-05-22 |
| 1164987541 | Brenda Martin | Registered Nurse | 25820 Southfield Rd Ste 111, Southfield, MI 48075-1800 | 2019-02-10 |
| 1164702916 | Brenda J. Martin | Massage Therapist | 7476 S Broadway, Red Hook, NY 12571-1772 | 2011-08-25 |
| 1124288121 | Brenda Hatfield Martin | Occupational Therapy Assistant | 1217 Augusta St, Charlottesville, VA 22903-5106 | 2008-06-12 |
| 1417134107 | Brenda Martin | Speech-Language Pathologist | 10387 W. Shadow Rock Drive, Boise, ID 83714 | 2008-01-25 |
| 1053496406 | Brenda K Martin | Social Worker | 127 N Green St, Statesville, NC 28677-5375 | 2006-10-26 |
| 1063403970 | Brenda Rae Martin | Pharmacist | Osawatomie State Hospital, Rt 1 Box 500, Osawatomie, KS 66064 | 2005-10-31 |
| 1407841000 | Brenda Martin | Nurse Practitioner | 586 Moorestown Dr, Bath, PA 18014-9713 | 2005-09-20 |
| 1689275745 | Brenda Martin | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-05 |
| Street Address |
2401 BUENA VISTA RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31906-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750576807 | Mental Retardation Waiver Program Muscogee | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2007-09-12 |
| 1457987711 | Justin Stafford | Community Health Worker | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2020-03-19 |
| 1477189918 | Shabriel Willis | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2020-03-17 |
| 1306488903 | Justin Ormond Harper | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2019-10-15 |
| 1053953653 | Latoya Williams | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2019-10-15 |
| 1629532676 | Terrence Christie | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2019-01-24 |
| 1013485408 | Gregory Lewis | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2018-11-05 |
| 1538652706 | Curtis Bernard Thomas | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2018-06-12 |
| 1114433547 | Adrian Lamar Zimon | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2017-12-21 |
| 1386150712 | Derrick Gause | Day Training, Developmentally Disabled Services | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778939 | Kamisha Latonya Byrd Jr. | Home Health | 901joy Rd Lot B1, Columbus, GA 31906 | 2018-01-19 |
| 1093180234 | Conchetta Perry | Nurse Practitioner | 1711 Buena Vista Road Suite #2, Columbus, GA 31906 | 2015-12-13 |
| 1972910586 | Felicia Murphy | Nurse's Aide | 5619 Teresa, Columbus, GA 31906 | 2014-07-15 |
| 1932526340 | Waytika Glover | Community Health Worker | 1719 Shepard Dr, Columbus, GA 31906 | 2014-03-24 |
| 1376973941 | Laura Kaye Thomas | Counselor | 2100 Cormer Ave, Columbus, GA 31906 | 2013-11-19 |
| 1831528876 | Mosco Davis | In Home Supportive Care | 2202 Francis St.., Columbus, GA 31906 | 2013-11-08 |
| 1104153451 | Project Rebound Inc. | Social Worker | 1170 Brown Ave Street B, Columbus, GA 31906 | 2009-11-06 |
| 1982865499 | Cheryl Denise Freeman-jackson | Dentist | 2206 Francis St, Columbus, GA 31906 | 2008-06-18 |
| 1366652083 | Leroy Livingstone Boatswain | Social Worker | 919 Lawyers Lane, Columbus, GA 31906 | 2007-05-23 |
| 1023127222 | Chikkanayak B Lokesh | Psychiatry & Neurology | 1310 13 Th Avenue, Va Cboc Clinic, Columbus, GA 31906 | 2006-08-30 |
| Find all providers in zip 31906 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528775 | Trinka Louise Glenn | Case Manager/Care Coordinator | 6400 E Broad St # F14, Columbus, OH 43213-2086 | 2020-11-02 |
| 1164022182 | George Atta Owusu | Case Manager/Care Coordinator | 407 Lemery Dr, Columbus, OH 43213-4482 | 2020-10-28 |
| 1669070280 | Abu Daniel Kamara | Case Manager/Care Coordinator | 2935 E Main St 9721, Columbus, OH 43209 | 2020-10-15 |
| 1346857513 | Claire Dawson | Case Manager/Care Coordinator | 2546 Billingsley Road, Columbus, OH 43235-1976 | 2020-09-30 |
| 1952918484 | Andrea Y Daniel | Case Manager/Care Coordinator | 6040 Walters Loop, Columbus, GA 31907-5368 | 2020-09-29 |
| 1962027839 | Julius A Michael | Case Manager/Care Coordinator | 1966 Hampstead Dr, Columbus, OH 43229-2714 | 2020-06-16 |
| 1912528035 | Deshaun Brown | Case Manager/Care Coordinator | 6470 Cove Creek Ct, Columbus, GA 31909-3400 | 2020-04-29 |
| 1467072074 | Medforall | Case Manager/Care Coordinator | 1500 W 3rd Ave Ste 111, Columbus, OH 43212-2890 | 2020-04-23 |
| 1366071763 | Tianna S Roberts | Case Manager/Care Coordinator | 1111 Mediterranean Ave, Columbus, OH 43229-2509 | 2020-04-07 |
| 1871127720 | Areil Mackenzie | Case Manager/Care Coordinator | 2921 Parkside Rd, Columbus, OH 43204-2543 | 2020-03-01 |
| Find all providers in COLUMBUS | ||||
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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.