MS. TARNESA MARTIN (NPI# 1619537925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619537925 |
Entity Type | Individual |
Full Name | MS. TARNESA MARTIN |
Practice Address |
529 Martin Luther King Blvd Flint MI 48502-2002 |
Practice Telephone | 8102387226 |
Practice Fax Number | 8102395518 |
Mailing Telephone | 8102387226 |
Mailing Fax Number | 8102395518 |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704238342 | MI | Nursing Service Providers |
Street Address |
529 MARTIN LUTHER KING BLVD |
City | FLINT |
State | MI |
Zip Code | 48502-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861837502 | Shanta Natre Smith | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2013-05-08 |
1881291045 | Caylin Ann Dawson | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-10-01 |
1649880246 | Meghan Peake | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1265042857 | Dana Witzka | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1558971143 | Raina Patterson | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1811507494 | John Parmann | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1033729637 | Chad Andis | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1487264073 | Chad Gospel Payne | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1306456918 | Christopher Duncan | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1396354114 | Tameka Jones | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
Find all providers in zip 48502 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518594217 | Cheryl Golidy | Registered Nurse | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-03-24 |
1316588296 | Mary Whitley | Registered Nurse | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2019-10-02 |
1578032108 | Yalonda Kindle | Registered Nurse | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2018-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699123471 | Kimberly Wells | Registered Nurse | 519 E Brook Dr, Newaygo, MI 49337-8573 | 2016-06-02 |
1023498409 | Kelli Markarian | Registered Nurse | 9101 William St, Taylor, MI 48180-2822 | 2015-06-01 |
1881072395 | Gregory Pula | Registered Nurse | 706 Pemberton Ln, Jackson, MI 49203-7127 | 2015-05-16 |
1215377304 | Carol Ann Mcneil | Registered Nurse | 2800 Ore Valley Dr, Hartland, MI 48353-2810 | 2013-07-03 |
1336321215 | Sandra Marion Stetz | Registered Nurse | 3483 Clintonville Rd, Waterford, MI 48329-2227 | 2007-12-03 |
1902088016 | Pam Nemer | Registered Nurse | 7177 Magnolia Ln, Waterford, MI 48327-4421 | 2007-11-30 |
1760089148 | Ambor Lynn Sanders | Registered Nurse | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2020-10-08 |
1932715778 | Carole A Stacy | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-09-17 |
1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
1427660596 | Larry Scott Fitzgerald | Registered Nurse | 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 | 2020-08-20 |
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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.