MARY A MARTIN NP BC (NPI# 1609313311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609313311 |
| Entity Type | Organization |
| Organization Name | MARY A MARTIN NP BC |
| Practice Address |
10430 Haddington Dr Nw Charlotte NC 28269-6955 |
| Mailing Address |
6809 Fairview Rd Charlotte NC 28210-4195 |
| Practice Telephone | 7042001122 |
| Practice Fax Number | 7044641781 |
| Mailing Telephone | 7042001122 |
| Mailing Fax Number | 7044641781 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | MARY ANN MARTIN (PSYCHIATRIC NURSE PRACTITIONER OWNE) |
| Authorized Official Telephone | 7042001122 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
5002313 | NC | Ambulatory Health Care Facilities |
| Street Address |
10430 HADDINGTON DR NW |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-6955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
| 1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
| 1073081014 | Inspired Hope | Clinic/Center | 7833 Calibre Crossing Dr Apt 205, Charlotte, NC 28227-6780 | 2018-11-07 |
| 1376038224 | Adams Counseling Service Pllc | Clinic/Center | 3623 Latrobe Dr Ste 110a-1, Charlotte, NC 28211-4864 | 2018-06-23 |
| 1194222174 | Dedicated 2 Liberating, LLC | Clinic/Center | 5415 Airport Dr, Charlotte, NC 28208-5733 | 2018-04-06 |
| 1033612825 | Behavioral Health Intervention Center, LLC | Clinic/Center | 8401 Medical Plaza Dr Ste 120, Charlotte, NC 28262-9769 | 2018-03-17 |
| 1114297041 | Scn Psyhological and Consulting Services LLC | Clinic/Center | 6729 Fairview Rd Ste D, Charlotte, NC 28210-0127 | 2012-01-10 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1508023193 | Tammaria Lucilia Boyd | Clinic/Center | 1517 N Alexander St, Charlotte, NC 28205-2640 | 2008-05-21 |
| 1184809774 | Simplicity Care, Inc | Clinic/Center | 6701 Simpson Rd, Charlotte, NC 28216-5897 | 2008-01-02 |
| Find all providers in CHARLOTTE | ||||
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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.