JILL MARTIN


Address: 305 W Jackson St Ste 301, Carbondale, IL 62901-1474
Phone: 6185290520

JILL MARTIN (NPI# 1770125817) 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) 1770125817
Entity Type Individual
Full Name JILL MARTIN
Credential NP
Practice Address 305 W Jackson St Ste 301
Carbondale
IL 62901-1474
Mailing Address Po Box 3988
Carbondale
IL 62902-3988
Practice Telephone 6185290520
Practice Fax Number 6185290519
Mailing Telephone 6184575200
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209020197 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JILL MARTIN

NPI Name Taxonomy Address Enumeration
1730544636 Jill J Martin Counselor 9013 University Pkwy Ste C, Pensacola, FL 32514-9421 2015-12-18
1013355866 Jill Martin Speech-Language Pathologist 6602 Northridge Cir, Louisville, KY 40241-6522 2013-06-13
1891393104 Jill C Martin Speech-Language Pathologist 601 Crawford St, Kelso, WA 98626-4315 2020-10-09
1346889177 Jill Martin Pharmacist 110 Promenade Blvd, Flowood, MS 39232-8017 2019-12-26
1932660024 Jill Martin Physical Therapy Assistant 15425 Manchester Rd, Ballwin, MO 63011-3077 2019-03-29
1417496803 Jill Martin Physician Assistant 1800 E Park Ave, State College, PA 16801-5602 2017-02-17
1679023972 Jill Martin Registered Nurse 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 2016-10-11
1275988529 Jill Martin Physical Therapist 1000 Methodist Oaks Dr, Orangeburg, SC 29115-1815 2016-04-24
1588052633 Jill Martin Counselor 6013 S. Redwood Rd., Taylorsville, UT 84123 2014-12-23
1255749354 Jill Ann Martin Counselor 2000 Baker St, Bakersfield, CA 93305-3061 2014-08-01

Office Location

Street Address 305 W JACKSON ST STE 301
City CARBONDALE
State IL
Zip Code 62901-1474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053678755 Nida Junaid Internal Medicine 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 2012-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
Find all providers in zip 62901

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285287888 Melissa Anne Fowler-coello Nurse Practitioner 305 W Jackson St Ste 100, Carbondale, IL 62901-1474 2019-07-23
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1093706780 Marie A Williams Nurse Practitioner 30-32 N Main St, Carbondale, PA 18407-2304 2005-11-02
1598391484 Jourdan Nikole Prehn Nurse Practitioner 211 Main St, Carbondale, KS 66414-9714 2020-03-23
1043846421 Lindsay B Casolari Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2020-03-18
1871123067 Hailee Elizabeth Bowlin Nurse Practitioner 405 W Jackson St, Carbondale, IL 62901-1462 2020-01-16
1194367318 Jessica Oakley Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2019-10-09
1427609775 Brandi Anderson Nurse Practitioner 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 2019-09-26
1184196883 Leslie Ann Hickman Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2018-12-19
1053880781 Heather Dawn Davis Nurse Practitioner 305 W Jackson St Ste 400, Carbondale, IL 62901 2018-11-26
Find all providers in CARBONDALE

Competitor

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City CARBONDALE
Zip Code 62901

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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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