JARED JOHN MARTIN (NPI# 1659860724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659860724 |
Entity Type | Individual |
Full Name | JARED JOHN MARTIN |
Credential | FNP-BC |
Practice Address |
1327 E 17th St Idaho Falls ID 83404-6235 |
Mailing Address |
2874 Hunters Loop Unit C Blackfoot ID 83221-6244 |
Practice Telephone | 2085383122 |
Mailing Telephone | 2086800499 |
Enumeration Date | 2018-05-04 |
Last Update Date | 2018-05-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
58454 | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942784806 | Jared Travis Martin | Physical Therapy Assistant | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2018-09-17 |
1801341656 | Jared Martin | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2016-08-22 |
1336485259 | Jared Paul Martin | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2012-12-20 |
1245576313 | Jared Wayne Martin | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-12-18 |
1649569583 | Jared Thomas Martin | Emergency Medicine | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2011-03-31 |
1639499783 | Jared C Martin | Obstetrics & Gynecology | 6420 Clayton Rd, Suite 291, Saint Louis, MO 63117-1811 | 2010-06-10 |
1720249931 | Jared S. Martin | Dentist | 4722 N Southside Plaza St, #24, Richmond, VA 23224-1742 | 2008-06-19 |
1245416072 | Jared Martin | Case Manager/Care Coordinator | 1100 California St, Eureka, CA 95501-1621 | 2008-01-10 |
1962623991 | Jared Martin | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2007-05-01 |
Street Address |
1327 E 17TH ST |
City | IDAHO FALLS |
State | ID |
Zip Code | 83404-6235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760421051 | Brian Joseph Decker | Nurse Practitioner | 1327 E 17th St, Idaho Falls, ID 83404 | 2006-06-05 |
1215587332 | Angella Joy Catlin | Social Worker | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2019-09-19 |
1780138206 | Karl Winegar | Social Worker | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2016-08-12 |
1285089144 | Brant Parkinson | Physician Assistant | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2016-04-28 |
1306151030 | Alison Muir | Social Worker | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2010-08-18 |
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 |
1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
Find all providers in zip 83404 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841802790 | Magno C. Santos Msn, Fnp-c Pllc | Nurse Practitioner | 2184 Channing Way # 283, Idaho Falls, ID 83404-8034 | 2020-08-21 |
1023626876 | Sandy Palma | Nurse Practitioner | 2155 Rendezvous Rd, Idaho Falls, ID 83402-3885 | 2020-07-17 |
1508483173 | Angela Kirsten Johnston | Nurse Practitioner | 2243 E 17th St, Idaho Falls, ID 83404-6519 | 2020-06-30 |
1922652171 | Amanda Goodliffe | Nurse Practitioner | 3993 E 109 N, Idaho Falls, ID 83401-5436 | 2019-07-26 |
1730744947 | Samantha De Bruyn Kops | Nurse Practitioner | 2065 E 17th St Ste C, Idaho Falls, ID 83404-8042 | 2019-05-02 |
1952866063 | Tiffany Ann Williams | Nurse Practitioner | 1223 Cabin Cv, Idaho Falls, ID 83404-8298 | 2019-02-02 |
1881172963 | Kboll Healthcare | Nurse Practitioner | 2305 Coronado St, Idaho Falls, ID 83404-7407 | 2018-08-01 |
1740771898 | Elizabeth Ann Sharp-marsden | Nurse Practitioner | 2275 Channing Way, Idaho Falls, ID 83404-8012 | 2018-05-24 |
1346737608 | Melissa Plaisted | Nurse Practitioner | 2877 N Woodbine Rd, Idaho Falls, ID 83401-1254 | 2018-04-21 |
1083067268 | Eulalia Adriana Aljayoushi | Nurse Practitioner | 1995 E 17th St Ste 1, Idaho Falls, ID 83404-6493 | 2016-07-22 |
Find all providers in IDAHO FALLS |
City | IDAHO FALLS |
Zip Code | 83404 |
Please comment or provide details below to improve the information on JARED JOHN MARTIN.
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.