STACEY N MARTIN (NPI# 1780946616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780946616 |
| Entity Type | Individual |
| Full Name | STACEY N MARTIN |
| Credential | NP |
| Practice Address |
1500 Sw 1st Ave Ocala FL 34471-6504 |
| Mailing Address |
6445 Sw 135th Terrace Rd Ocala FL 34481-3489 |
| Practice Telephone | 3523683407 |
| Practice Fax Number | 3523517602 |
| Mailing Telephone | 3524655417 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9202734 | FL | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9202734 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089221 | Stacey Louise Martin | Social Worker | 800 Mcknight Park Dr, Pittsburgh, PA 15237-6513 | 2020-10-07 |
| 1972997468 | Stacey Marie Martin | Developmental Therapist | 500 Fairway Dr.ste.102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-03-24 |
| 1134513690 | Stacey Edith Martin | Registered Nurse | 1111 E Stanley Blvd Ste 112, Livermore, CA 94550-4115 | 2015-03-23 |
| 1770863771 | Stacey Marie Martin | Speech-Language Pathologist | 1736 Middleton Avenue, Lisle, IL 60532 | 2011-08-22 |
| 1386953099 | Stacey L. Martin | Physical Therapy Assistant | 1333 Spring St., Petoskey, MI 49770 | 2010-09-29 |
| 1558384289 | Stacey A Martin | Podiatrist | 436 Graham Rd, Cuyahoga Falls, OH 44221-1302 | 2006-07-25 |
| 1982186946 | Stacey Martin | Counselor | 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2018-09-05 |
| 1538657861 | Stacey Crystal Martin | Registered Nurse | 6140 S Broadway, Lorain, OH 44053 | 2018-04-23 |
| 1114434073 | Stacey Lynn Martin | Physical Medicine & Rehabilitation | 100 Mount Allen Dr, Mechanicsburg, PA 17055-6171 | 2018-01-01 |
| 1417316183 | Stacey Martin | Behavioral Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2016-02-23 |
| Street Address |
1500 SW 1ST AVE |
| City | OCALA |
| State | FL |
| Zip Code | 34471-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265739 | Munroe Regional Health System, Inc. | General Acute Care Hospital | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2005-06-15 |
| 1912523077 | Nitheen Reddy Toom | Anesthesiologist Assistant | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2020-06-24 |
| 1346864196 | Karen Jean Turner | Radiologic Technologist | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2020-06-07 |
| 1598394637 | Kaladevi Chandramohan Rumalla | Family Medicine | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2020-04-01 |
| 1144857756 | Christopher Brandon Glenn | Registered Nurse | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2020-03-24 |
| 1093345860 | Daniel Frank Schmidt | Registered Nurse | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2020-01-21 |
| 1710538087 | Sarabel Mercado Torres | Nurse Anesthetist, Certified Registered | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2019-09-26 |
| 1457902058 | Shubrata Dey | Nurse Practitioner | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2019-09-25 |
| 1497312375 | Alyson Nicole Ecker | Nurse Anesthetist, Certified Registered | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2019-05-25 |
| 1407411796 | Appleton Intensivist Group, LLC | Internal Medicine | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937395 | Holly Roy Bonynge | Nurse Practitioner | 2650 Nw 2nd St # 100, Ocala, FL 34475-6234 | 2019-11-19 |
| 1467780338 | Bobbie Jo Runnels | Nurse Practitioner | 3819 Se 4th St, Ocala, FL 34471-3021 | 2009-12-03 |
| 1437135225 | Susan Lakatos | Nurse Practitioner | 1329 Se 25th Loop Suite 101, Ocala, FL 34471-6948 | 2005-12-22 |
| 1083603112 | Katie M Falco | Nurse Practitioner | 1801 Se 32nd Ave, Ocala, FL 34471-5532 | 2005-10-20 |
| 1649269762 | Vaun Kay Conrad | Nurse Practitioner | 7960 Sw 60th Ave, Ocala, FL 34476-6457 | 2005-10-20 |
| 1972068732 | Kelley Clark-segovia | Nurse Practitioner | 1900 Sw 20th Pl, Ocala, FL 34471-7870 | 2019-02-06 |
| 1851842405 | Lisandra Vidal | Nurse Practitioner | 7960 Sw 60th Ave, Ocala, FL 34476-6408 | 2016-10-19 |
| 1245604594 | Tiffany Dawn Haulk James | Nurse Practitioner | 7960 Sw 60th Ave, Ocala, FL 34476-6457 | 2015-11-24 |
| 1588988489 | Serenity Elizabeth Stanfield | Nurse Practitioner | 1801 Se 32nd Ave, Ocala, FL 34471-5532 | 2010-03-22 |
| 1942523915 | Erin L Clymer | Nurse Practitioner | 2725 Se Maricamp Rd, Ocala, FL 34471-5537 | 2010-03-05 |
| Find all providers in OCALA | ||||
Please comment or provide details below to improve the information on STACEY N 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.