KELLY MARTIN


Address: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367
Phone: 5052482726

KELLY MARTIN (NPI# 1790311272) 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) 1790311272
Entity Type Individual
Full Name KELLY MARTIN
Practice Address 707 Broadway Blvd Ne Ste 500
Albuquerque
NM 87102-2367
Practice Telephone 5052482726
Practice Fax Number 5052482723
Mailing Telephone 5052482726
Mailing Fax Number 5052482723
Enumeration Date 2020-03-17
Last Update Date 2020-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers KELLY MARTIN

NPI Name Taxonomy Address Enumeration
1578100111 Kelly Martin Speech-Language Pathologist 948 Dinosaur Dr, Erie, CO 80516-6576 2019-12-02
1386298677 Kelly Marie Martin Licensed Practical Nurse 909 S Michael St, Saint Marys, PA 15857-3030 2019-07-25
1477117885 Kelly Rae Martin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 2019-05-01
1679098727 Kelly Lynn Martin Massage Therapist 6537 Fairlane Dr, Boston, NY 14025-9637 2017-08-10
1891231379 Kelly Martin Speech-Language Pathologist 3513 Indian Oaks Ln, Toledo, OH 43617-3007 2017-01-09
1376900654 Kelly Ann Martin Counselor 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 2016-01-18
1245616481 Kelly A Martin Counselor 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 2015-08-10
1316330178 Kelly Martin Rehabilitation Practitioner 12111 N 66th Ave, Glendale, AZ 85304-1625 2015-03-17
1538563077 Kelly Ann Martin Counselor 15208 County Road 1835, Lubbock, TX 79424-8520 2014-10-13
1124430764 Kelly Michael Martin Registered Nurse 1001 S. Gearge St, York, PA 17403 2014-06-02

Office Location

Street Address 707 BROADWAY BLVD NE STE 500
City ALBUQUERQUE
State NM
Zip Code 87102-2367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730112483 Behavioral Healthcare Services, Inc. Community/Behavioral Health 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2006-07-08
1255967733 Carrie Martinez Case Manager/Care Coordinator 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2020-03-17
1518593094 Crystal Baska Case Manager/Care Coordinator 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2020-03-17
1245866722 Magdalena Gonzalez Case Manager/Care Coordinator 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2020-03-17
1003449653 Sarah Dulce Boyd Peer Specialist 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2020-02-21
1639702541 Claudia Hay Registered Nurse 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2020-02-19
1093364200 Megan Georgia Colwell Student in an Organized Health Care Education/Training Program 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2019-09-10
1841858198 Leigh Frances Durham Social Worker 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2019-06-02
1245792589 Kryn Beth Mcclain Social Worker 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2019-04-04
1619446846 Luis G. Arellano Registered Nurse 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 2018-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454937 Julie Wood Acupuncturist 1600 Luna Circle Nw, Albuquerque, NM 87102 2020-10-16
1770121410 Emily Perez Counselor 218 Broadway Ne, Albuquerque, NM 87102 2019-12-12
1417503392 Tess Holtry Behavior Technician 1424 Walter St Nw, Albuquerque, NM 87102 2019-08-15
1942867486 Christy E Cheromiah Behavioral Analyst Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-05-21
1730744103 Faith Petra Maxwell Behavior Technician 900 Arno St, Albuquerque, NM 87102 2019-05-01
1568923761 Storm Swinford Behavioral Analyst Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-29
1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
Find all providers in zip 87102

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346847985 Selinda Turner Case Manager/Care Coordinator 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 2020-10-06
1205452943 Channda Bernadette Mitchell Case Manager/Care Coordinator 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 2020-06-18
1346882909 Jaineen Burkettsims Case Manager/Care Coordinator 11005 Spain Rd Ne Ste 22, Albuquerque, NM 87111-1871 2019-10-15
1285282715 Aiden Charles Martinez Case Manager/Care Coordinator 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 2019-08-28
1023662947 Tracy Lynn Nichols Case Manager/Care Coordinator 2329 Griffin Rd Sw, Albuquerque, NM 87105-7026 2019-07-29
1629632930 Kassandra Lucero Case Manager/Care Coordinator 4118 Central Ave Se, Albuquerque, NM 87108-1177 2019-04-23
1740708809 11.11, LLC Case Manager/Care Coordinator 11724 Copper Pl Ne, Albuquerque, NM 87123 2017-09-08
1811411135 Annette Romero Case Manager/Care Coordinator 9741 Candelaria, Albuquerque, NM 87112 2017-07-28
1245769512 Danielle White Case Manager/Care Coordinator 801 Encino Pl Ne Ste E1, Albuquerque, NM 87102-2645 2017-06-08
1447784079 Jess Fulton Case Manager/Care Coordinator 720 Vassar Dr Ne, Albuquerque, NM 87106-2724 2017-04-20
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87102

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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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