MARTIN IVERSON (NPI# 1710382338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710382338 |
Entity Type | Individual |
Full Name | MARTIN IVERSON |
Practice Address |
927 E Fairhaven Ave Burlington WA 98233-1918 |
Practice Telephone | 3607573311 |
Mailing Telephone | 3607573311 |
Enumeration Date | 2014-10-24 |
Last Update Date | 2014-10-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | P160045845 | WA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 251300000X | 05 |
Street Address |
927 E FAIRHAVEN AVE |
City | BURLINGTON |
State | WA |
Zip Code | 98233-1918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699866764 | Burlington-edison School District | Local Education Agency (LEA) | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2006-09-27 |
1639539323 | Brita Morris | Speech-Language Pathologist | 927 E Fairhaven Ave, B-esd, Burlington, WA 98233-1918 | 2016-02-24 |
1841660172 | Sarah Benne | Physical Therapy Assistant | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2015-09-29 |
1306223029 | Bonnie Keen | Physical Therapy Assistant | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2015-05-01 |
1578968814 | Tessa Mcilraith | Registered Nurse | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2014-10-29 |
1003219650 | Claire Farabee | Speech-Language Pathologist | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2014-09-26 |
1891138731 | Amy Lynn Mcmahon | Speech-Language Pathologist | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2013-04-10 |
1427396258 | Shala Look | Speech-Language Pathologist | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2013-01-29 |
1982940821 | Erik Daniel Wermus | Specialist | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2012-12-21 |
1124221189 | Rebecca J Ballard | Speech-Language Pathologist | 927 E Fairhaven Ave, Burlington, WA 98233-1918 | 2007-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
Find all providers in zip 98233 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
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1205339702 | Regional School District #10 | Local Education Agency (LEA) | 24 Lyon Rd, Burlington, CT 06013-1330 | 2018-03-12 |
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1215276506 | City of Burlington Boe | Local Education Agency (LEA) | 518 Locust Ave, Burlington, NJ 08016-4512 | 2013-02-06 |
1003145111 | Alamance-burlington School System | Local Education Agency (LEA) | 612 Apple St, Burlington, NC 27217-2530 | 2009-12-18 |
1134397649 | Central Cusd 301 | Local Education Agency (LEA) | 275 South Street, Burlington, IL 60109 | 2008-02-19 |
1518148659 | Burlington Area School District | Local Education Agency (LEA) | 100 N Kane St, Burlington, WI 53105-1842 | 2007-11-16 |
1689853657 | Randall Joint #1 School District | Local Education Agency (LEA) | 37101 87th St, Burlington, WI 53105-8596 | 2007-10-26 |
1427237429 | Wheatland Joint #1 School District | Local Education Agency (LEA) | 6606 368th Ave, Burlington, WI 53105-8583 | 2007-10-26 |
1265558480 | Town of Burlington | Local Education Agency (LEA) | 123 Cambridge St, Burlington, MA 01803-3711 | 2007-03-21 |
1386791119 | Burlington C.s.d. | Local Education Agency (LEA) | 1429 West Ave, Burlington, IA 52601-4064 | 2007-01-04 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 98233 |
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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.