DAVID LANCE MARTIN (NPI# 1861651325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861651325 |
| Entity Type | Individual |
| Full Name | DAVID LANCE MARTIN |
| Credential | CSW |
| Practice Address |
390 W 1st N Ephraim UT 84627-2131 |
| Mailing Address |
152 North 400 West Ephraim UT 84627-2131 |
| Practice Telephone | 4352834065 |
| Practice Fax Number | 4352835387 |
| Mailing Telephone | 4352838400 |
| Mailing Fax Number | 4352838401 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5001946-3502 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529688 | David Andrew Martin | Contractor | 15310 Cr T.37, La Jara, CO 81140 | 2018-05-22 |
| 1215441811 | David Robert Martin | Peer Specialist | 313 E Edwards St Apt B5, Edmond, OK 73034-4597 | 2017-11-20 |
| 1518340298 | David Martin | Counselor | 2082 S Stonyfield Pl, Boise, ID 83709-5508 | 2015-06-30 |
| 1982954376 | David Eugene Martin | Nurse Practitioner | 2145 Stonecrest Path, New Braunfels, TX 78130-9414 | 2012-09-13 |
| 1245585413 | David William Martin Jr. | Internal Medicine | 300 Utah Ave, Suite 150, South San Francisco, CA 94080-6800 | 2012-07-13 |
| 1437469483 | David Emory Martin | Dentist | 2911 A W Grimes Blvd, Ste. 106, Pflugerville, TX 78660-5458 | 2010-10-08 |
| 1427375989 | David L Martin | Pharmacist | 64 N Mercer Ave, Sharpsville, PA 16150-2234 | 2010-04-23 |
| 1669646865 | David Walker Martin | Mechanotherapist | 5615m Jackson Street Ext Ste 102, Alexandria, LA 71303-2274 | 2008-04-17 |
| 1831362060 | David A Martin | Licensed Practical Nurse | 1394 E Bristol Rd, Flint, MI 48529-2212 | 2008-04-09 |
| 1376711093 | David Joseph Martin | Dentist | 938 Dewing Ave, Suite 2, Lafayette, CA 94549-4271 | 2008-02-15 |
| Street Address |
390 W 1ST N |
| City | EPHRAIM |
| State | UT |
| Zip Code | 84627-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467480236 | Rhett C. Larsen | Social Worker | 390 W 1st N, Ephraim, UT 84627-2131 | 2006-06-29 |
| 1598062739 | Shayla Anderson | Counselor | 390 W 1st N, Ephraim, UT 84627-2131 | 2011-02-24 |
| 1356648505 | Deborah A Munk | Counselor | 390 W 1st N, Ephraim, UT 84627-2131 | 2011-02-24 |
| 1861642126 | Darla Michelle Folkner | Counselor | 390 W 1st N, Ephraim, UT 84627-2131 | 2008-09-23 |
| 1770732687 | Katie Jo Bateman | Counselor | 390 W 1st N, Ephraim, UT 84627-2131 | 2008-09-16 |
| 1528227071 | Chet Riley Ludlow | Counselor | 390 W 1st N, Ephraim, UT 84627-2131 | 2008-06-09 |
| 1316124472 | Correen Johnson | Counselor | 390 W 1st N, Ephraim, UT 84627-2131 | 2008-01-30 |
| 1154359651 | Brian J. Whipple | Social Worker | 390 W 1st N, Ephraim, UT 84627-2131 | 2006-06-30 |
| 1740218452 | Mark N. Metekingi | Social Worker | 390 W 1st N, Ephraim, UT 84627-2131 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730555400 | Snow College | Specialist/Technologist | 150 E. College Way, Ephraim, UT 84627 | 2015-08-18 |
| 1457601353 | Riley David Beck | Counselor | 390 E 100 S, Ephraim, UT 84627 | 2012-09-18 |
| 1992079099 | Lighthouse Ranch Corporation | Substance Abuse Rehabilitation Facility | 390 East 100 South, Ephraim, UT 84627 | 2012-03-07 |
| 1598067647 | Stephanie Irons | Counselor | 45 W 700 S, Ephraim, UT 84627 | 2010-11-23 |
| 1801104054 | Young Women's Empowerment Center | Community Based Residential Treatment Facility, Mental Illness | 90 North 161 West, Young Women's Empowerment Center, Ephraim, UT 84627 | 2010-09-22 |
| 1245548742 | Young Women's Empowerment Center Long Term 3 | Community Based Residential Treatment Facility, Mental Illness | 66 N. 180 W., Ephraim, UT 84627 | 2010-09-17 |
| 1073825402 | Rachel Allen | Social Worker | 45 West 700 South, Ephraim, UT 84627 | 2010-07-14 |
| 1154490613 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 728 N 50 E, Ephraim, UT 84627 | 2006-11-07 |
| 1477656452 | Leland R Thompson | Dentist | 35 E 400 S, Ephraim, UT 84627 | 2006-09-06 |
| 1750312674 | Ephraim City Corporation | Ambulance | 45 E Center St, Ephraim, UT 84627 | 2006-07-06 |
| Find all providers in zip 84627 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497265383 | Catherine Ann Leatham | Counselor | 66 N 180 W, Ephraim, UT 84627-2130 | 2017-10-05 |
| 1629419593 | Maggi Leavitt | Counselor | 43 E 640 S, Ephraim, UT 84627-3029 | 2013-07-08 |
| 1457601353 | Riley David Beck | Counselor | 390 E 100 S, Ephraim, UT 84627 | 2012-09-18 |
| 1730486887 | Ralaina M Taylor | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2011-02-24 |
| 1598067647 | Stephanie Irons | Counselor | 45 W 700 S, Ephraim, UT 84627 | 2010-11-23 |
| 1093921678 | Francis Russell Beck Jr. | Counselor | 338 S 300 E, Ephraim, UT 84627-1420 | 2007-05-14 |
| 1053973685 | Jonatan Lopez Mancilla | Counselor | 390 W 100 N, Ephraim, UT 84627-2131 | 2019-07-03 |
| 1962967232 | Donnell Marie Johansen | Counselor | 152 N 400 W, Ephraim, UT 84627-5549 | 2019-01-31 |
| 1275016412 | Elizabeth Hinckley | Counselor | 390 W 100 N, Ephraim, UT 84627-2131 | 2018-09-13 |
| 1285127522 | Donna M Chester | Counselor | 45 West 700 South, Ephraim, UT 84627 | 2018-06-12 |
| Find all providers in EPHRAIM | ||||
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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.