MARY BETH MARTIN (NPI# 1790910891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790910891 |
| Entity Type | Individual |
| Full Name | MARY BETH MARTIN |
| Credential | NP-C |
| Practice Address |
480 Walker Dr Springville AL 35146-3250 |
| Practice Telephone | 2054676919 |
| Practice Fax Number | 2054677088 |
| Mailing Telephone | 2054676919 |
| Mailing Fax Number | 2054677088 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-082199 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467012765 | Mary A. Martin | Registered Nurse | 311 Jacks Pl, Newport News, VA 23608-1292 | 2019-06-18 |
| 1477028298 | Mary Martin | Counselor | 8774 Yates Dr Ste 305c, Westminster, CO 80031-6971 | 2018-10-08 |
| 1467809590 | Mary Elizabeth Martin | Marriage & Family Therapist | 5222 Braddock Ave, N Charleston, SC 29405-4174 | 2016-05-18 |
| 1609220896 | Mary Martin | Counselor | 231 N 3rd Ave, Sandpoint, ID 83864-1423 | 2016-04-14 |
| 1386010007 | Mary Martin | Registered Nurse | 85 Old Huntsville Rd, Fayetteville, TN 37334-6013 | 2015-08-17 |
| 1114302254 | Mary Martin | Speech-Language Pathologist | 309 Spring Green Rd, Warwick, RI 02888-5311 | 2015-07-29 |
| 1316365745 | Mary Martin | Nurse Practitioner | 2625 Tamiami Trl Ste 5, Port Charlotte, FL 33952-6403 | 2014-04-02 |
| 1558786111 | Mary Martin | Case Manager/Care Coordinator | 810 Se Ave L, Idabel, OK 74745-7808 | 2014-02-19 |
| 1689967077 | Mary Ellen Martin | Veterinarian | 7624 New Utrecht Ave, Brooklyn, NY 11214-1022 | 2011-05-18 |
| 1578873865 | Mary J Martin | Counselor | 772 Sw Hibiscus St, Port St Lucie, FL 34983 | 2010-10-20 |
| Street Address |
480 WALKER DR |
| City | SPRINGVILLE |
| State | AL |
| Zip Code | 35146-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467487843 | George M Harris | Family Medicine | 480 Walker Dr, Springville, AL 35146-3250 | 2006-07-12 |
| 1508308198 | Stv Primary Care Springville LLC | Family Medicine | 480 Walker Dr, Springville, AL 35146-3250 | 2016-11-14 |
| 1164600078 | Rapha Healthcare, Inc | Family Medicine | 480 Walker Dr, Springville, AL 35146-3250 | 2008-02-01 |
| 1497876031 | Sue W Payne | Nurse Practitioner | 480 Walker Dr, Springville, AL 35146-3250 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730618141 | Perry Cancilla | Specialist/Technologist | 173 Crandall Drive, Springville, AL 35146 | 2017-06-08 |
| 1508394578 | Kathryn Clairena Stanton | Pharmacist | 160 Springville Station Blvd, Springville, AL 35146 | 2017-06-02 |
| 1588058317 | Vision Alabama LLC | Optometrist | 100 Legacy Park Way, Springville, AL 35146 | 2015-03-18 |
| 1548664055 | Northeast Alabama Dental, PC | Dentist | 106 Legacy Park Way, Springville, AL 35146 | 2014-10-13 |
| 1356682173 | Monica M Chadwick | Nurse Practitioner | 350 Springville Station Blvd, Springville, AL 35146 | 2013-03-04 |
| 1689855413 | Ivey Davis Rutledge | Dentist | 6324 Us Hwy 11, Springville, AL 35146 | 2007-11-20 |
| 1467514687 | Barry J Mccleney | Family Medicine | 5718 Us Hwy 11, Springville, AL 35146 | 2006-12-14 |
| 1093805145 | Wal-mart Stores East, Lp | Technician/Technologist | 160 Springville Station Blvd., Springville, AL 35146 | 2006-10-12 |
| 1689187080 | Springville Pediatrics LLC | Clinic/Center | 350 Springville Station Blvd, Springville, AL 35146 | 2017-11-08 |
| 1790953461 | Back In Motion Physical Therapy LLC | Clinic/Center | 6460 Us Highway 11, Springville, AL 35146 | 2008-02-15 |
| Find all providers in zip 35146 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416795 | London Teri Jackson | Nurse Practitioner | 405 S Main St, Springville, UT 84663-2252 | 2020-08-06 |
| 1609394758 | Emily G Dunn | Nurse Practitioner | 5 E 400 N, Springville, UT 84663-1347 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765872 | Tracie Diane Lavinsky | Nurse Practitioner | 13025 Alla Dr, Coker, AL 35452-3780 | 2020-09-21 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1457971079 | Lindsay Morris | Nurse Practitioner | 122 7th Ave Ne Ste D, Alabaster, AL 35007-9121 | 2020-04-23 |
| 1508492505 | Tiffany Michele Folse | Nurse Practitioner | 9618 Chariot Ave, Fairhope, AL 36532-7412 | 2020-03-21 |
| 1548809239 | Isuan Iriabho | Nurse Practitioner | Russell Medical Center, 3316 Us-280, Alexander City, AL 35010-9114 | 2019-12-30 |
| 1104476423 | Anaidra L Reese | Nurse Practitioner | 2079 S Evergreen Dr, Auburn, AL 36830-6942 | 2019-09-18 |
| 1104481944 | Deanna Montieth | Nurse Practitioner | 718 Downtowner Loop W, Mobile, AL 36609-5504 | 2019-05-07 |
| 1538622055 | Dana Marie Register | Nurse Practitioner | 11119 S County Road 49, Slocomb, AL 36375-5871 | 2019-04-11 |
| 1396218707 | Christine Wood | Nurse Practitioner | 4704 Whitesburg Dr Sw Ste 100, Huntsville, AL 35802-4302 | 2019-01-08 |
| 1780151514 | Mary Virginia Halbrooks | Nurse Practitioner | 1001 Hill St Sw, Hartselle, AL 35640-2801 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 35146 |
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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.