SANDRA MARTELL (NPI# 1659681963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659681963 |
| Entity Type | Individual |
| Full Name | SANDRA MARTELL |
| Credential | FNP-BC, DNP |
| Practice Address |
7556 Jackson Blvd Forest Park IL 60130-1854 |
| Practice Telephone | 7088368669 |
| Practice Fax Number | 7088368638 |
| Mailing Telephone | 7088368669 |
| Mailing Fax Number | 7088368638 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209001943 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7556 JACKSON BLVD |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881755684 | Susan G Marantz | Internal Medicine | 7556 Jackson Blvd, Forest Park, IL 60130-1854 | 2006-12-13 |
| 1285071738 | Jackie Augustus Williams | Obstetrics & Gynecology | 7556 Jackson Blvd, Forest Park, IL 60130-1854 | 2013-05-23 |
| 1841349123 | Anna Mae Gigi Lee | Internal Medicine | 7556 Jackson Blvd, Forest Park, IL 60130-1854 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817208 | Arlene Santiago-sutton | Nurse Practitioner | 455 Forest Pkwy, Forest Park, GA 30297-2126 | 2019-08-19 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1841516630 | Charles Jenkins IIi | Nurse Practitioner | 4390 Governors Drive, Suite 409, Forest Park, GA 30297-6101 | 2010-04-19 |
| 1407091705 | Clinica Agave Clinic | Nurse Practitioner | 4434 Jonesboro Rd, Forest Park, GA 30297-4313 | 2008-12-16 |
| 1972508752 | Guillermo Gomez | Nurse Practitioner | 4146 Jonesboro Rd, Forest Park, GA 30297-1038 | 2005-06-17 |
| 1477054260 | Diana Carmichael | Nurse Practitioner | 528 Forest Pkwy Ste A, Forest Park, GA 30297-6109 | 2018-02-27 |
| 1487181061 | Arleen Revely | Nurse Practitioner | 528 Forest Pkwy Ste A, Forest Park, GA 30297-6109 | 2017-05-15 |
| 1871969469 | Lisa Roseberry | Nurse Practitioner | 4905 Courtney Dr, Forest Park, GA 30297-1427 | 2015-08-18 |
| 1174916621 | Antoinette Denise Palomino | Nurse Practitioner | 4905 Courtney Dr, Forest Park, GA 30297-1427 | 2015-03-09 |
| 1750661112 | Christine Johnson | Nurse Practitioner | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2011-08-17 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
Please comment or provide details below to improve the information on SANDRA MARTELL.
| 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.