MR. JASON MARTIN


Address: 13734 S 1st E, Idaho Falls, ID 83404-7852
Phone: 2083600288

MR. JASON MARTIN (NPI# 1639507551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639507551
Entity Type Individual
Full Name MR. JASON MARTIN
Credential PMHNP-BC
Practice Address 13734 S 1st E
Idaho Falls
ID 83404-7852
Practice Telephone 2083600288
Mailing Telephone 2083600288
Enumeration Date 2013-10-31
Last Update Date 2020-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP 1389A ID Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NUR-RN-LIC-39018 MT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1301 E 17th St Ste 4, Idaho Falls, ID 834046273 2085230787 2086527595

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1245738244 Jason Lloyd Martin Nurse Practitioner 100 Hospital St Ste 100, Booneville, MS 38829-3354 2018-01-25
1154793883 Jason Martin Counselor 4406 Chambers Rd, Apt F11, Macon, GA 31206-4725 2015-10-21
1841629417 Jason M Martin Nurse Practitioner 2110 W 23rd St Ste C, Panama City, FL 32405-2370 2013-11-05
1306178769 Jason Benson Martin Physical Therapist 2311 Lake Aprk Drive, Albany, GA 31707 2010-02-09
1972150787 Jason Martin Counselor 343 Dela Vina Ave, Monterey, CA 93940-3974 2019-08-26
1043878796 Jason Martin Technician 1350 E M 21, Owosso, MI 48867-8000 2019-05-29
1083173488 Jason A. Martin Nurse Practitioner 600 N Jackson St, Tullahoma, TN 37388-3542 2019-03-15
1568972800 Jason Paul Martin Pharmacist 6350 Us Route 60 E, Barboursville, WV 25504-1232 2017-09-30

Office Location

Street Address 13734 S 1ST E
City IDAHO FALLS
State ID
Zip Code 83404-7852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023635018 Foothills Psychiatry and Addiction Psychiatry & Neurology 13734 S 1st E, Idaho Falls, ID 83404-7852 2020-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528610532 Shawn Warren Nurse Practitioner 755 Lomax St, Idaho Falls, ID 83401-2786 2019-07-10
1437765344 Jennifer Christine Maire Nurse Practitioner 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 2020-09-17
1922641968 Anna Blonquist Nurse Practitioner 2280 E 25th St, Idaho Falls, ID 83404-7542 2019-10-22
1245796101 Brian Brimhall Nurse Practitioner 2420 E 25th St, Idaho Falls, ID 83404-7549 2019-02-15
1033542634 Nathan Eric Bradfield Nurse Practitioner 2420 E 25th St, Idaho Falls, ID 83404-7549 2013-08-19
1497197891 Jeffrey C Anderson Nurse Practitioner 2420 E 25th St, Idaho Falls, ID 83404-7549 2013-07-25
1528346194 Shanna Neff Nurse Practitioner 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 2011-07-29
1922205574 Family Care Center Nurse Practitioner 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 2007-06-28

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1861024689 Jessica Erin Bringman Nurse Practitioner 3624 23rd St, Lewiston, ID 83501-6121 2020-02-10
1760950604 Scott A Watkins Nurse Practitioner 2836 Cougar Ave, Nampa, ID 83687-9107 2018-11-08
1104309657 Brigitta Panther Nurse Practitioner 418 W Reese St, Boise, ID 83706-6233 2018-09-11
1659870178 Mark Mcgrath Nurse Practitioner 1309 Ponderosa Dr Ste 103, Sandpoint, ID 83864-8278 2018-02-10
1467855403 Clint Emmett Nurse Practitioner 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 2014-10-06
1881027241 Colleen R Fleming Nurse Practitioner 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 2013-08-20
1053650010 Kellie Ann Northam Nurse Practitioner 192 West State Street, Eagle, ID 83616 2013-02-11
1104191089 Natasha M Splaine-talbott Nurse Practitioner 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 2012-03-12
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Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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