CANDACE S MARTINEZ (NPI# 1619595147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619595147 |
| Entity Type | Individual |
| Full Name | CANDACE S MARTINEZ |
| Other Name | CANDACE S SMITH |
| Credential | APRN |
| Practice Address |
2205 Mccallie Ave Chattanooga TN 37404-3230 |
| Practice Telephone | 4236982435 |
| Practice Fax Number | 4234996341 |
| Mailing Telephone | 4236982435 |
| Mailing Fax Number | 4234996341 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APN27730 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN27730 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518427137 | Candace Diane Martinez | Behavior Technician | 13653 Sandpiper Pl, Victorville, CA 92392-6875 | 2019-03-20 |
| 1265934848 | Candace Renee Martinez | Licensed Practical Nurse | 5304 Siltstone Loop, Killeen, TX 76542-5779 | 2018-02-28 |
| 1306444617 | Candace Martinez | Nurse Practitioner | 5950 Saratoga Blvd, Corpus Christi, TX 78414-4100 | 2020-10-09 |
| 1275944704 | Candace Ella Martinez | Case Manager/Care Coordinator | 526 S San Pedro St, Los Angeles, CA 90013-2102 | 2014-05-19 |
| 1699977983 | Candace P Martinez | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2007-05-31 |
| Street Address |
2205 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073507638 | Andrew B Rittenberry | Specialist | 2205 Mccallie Ave, Ste 102, Chattanooga, TN 37404-3323 | 2005-09-09 |
| 1134733587 | Madeline Brooke Ramirez | Registered Nurse | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2020-09-03 |
| 1881171627 | Reglindis Parker | Nurse Practitioner | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2018-07-24 |
| 1083191191 | Walter Matthew Porter | Nurse Practitioner | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2018-07-20 |
| 1932685344 | William Andrew Walden | Registered Nurse | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2018-07-18 |
| 1437510393 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 2205 Mccallie Ave, Plaza 4 Suite 302, Chattanooga, TN 37404-3230 | 2016-03-18 |
| 1760815484 | Varenda Fowler | Nurse Practitioner | 2205 Mccallie Ave, Chattanooga, TN 37404 | 2013-08-16 |
| 1558607580 | Steven M Anliker | Nurse Practitioner | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2012-12-19 |
| 1659625275 | Matthew C. Walker | Nurse Practitioner | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2012-11-05 |
| 1952651655 | Lora Elizabeth Hailey | Nurse Practitioner | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2012-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1184101743 | Dean Leroy Bowen | Nurse Practitioner | 420 W. Bell Ave., Chattanooga, TN 37405-3404 | 2018-07-25 |
| 1245760347 | Janelle Edmondson | Nurse Practitioner | 7011 Shallowford Rd Ste 104, Chattanooga, TN 37421 | 2017-06-13 |
| 1902275910 | Joshua Thompson | Nurse Practitioner | 804 N Holtzclaw Ave, Chattanooga, TN 37404-1235 | 2015-09-20 |
| 1427238781 | Donna Ward Mccoin | Nurse Practitioner | 420 W Bell Ave, Chattanooga, TN 37405-3404 | 2007-11-05 |
| 1235152372 | Kristy Dunn | Nurse Practitioner | 6400 Lee Hwy Ste 110, Chattanooga, TN 37421-2452 | 2006-07-26 |
| 1487270476 | Keli Michelle Walker | Nurse Practitioner | 420 W Bell Ave, Chattanooga, TN 37405-3404 | 2020-06-25 |
| 1649835398 | Phoenix Health Pllc | Nurse Practitioner | 7011 Shallowford Rd Ste 104, Chattanooga, TN 37421-6727 | 2019-05-08 |
| 1508330150 | Andres Marco Fraga | Nurse Practitioner | 7345 Courage Way, Chattanooga, TN 37421-1555 | 2019-01-16 |
| 1578038576 | Brittany Carmon | Nurse Practitioner | 7345 Courage Way Ste 101, Chattanooga, TN 37421-1555 | 2018-10-06 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.