MRS. BROOKE SUZAN MARTIN (NPI# 1891046801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891046801 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE SUZAN MARTIN |
| Credential | FNP-C |
| Practice Address |
1115 Us Highway 259 S Henderson TX 75654-3629 |
| Mailing Address |
Po Box 489 Mt Enterprise TX 75681-0489 |
| Practice Telephone | 9033928203 |
| Practice Fax Number | 9033922059 |
| Mailing Telephone | 9038223076 |
| Mailing Fax Number | 9038223079 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
741402 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741192 | Brooke Martin | Home Health Aide | 18500 Margareta St, Detroit, MI 48219-2932 | 2020-05-13 |
| 1033718796 | Brooke Martin | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-22 |
| 1194322982 | Brooke Nicole Martin | Physician Assistant | 1200 Brooks Ln Ste 170, Clairton, PA 15025-3759 | 2020-10-05 |
| 1477166791 | Brooke Martin | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2020-08-26 |
| 1427607753 | Brooke Cherie Martin | Nurse Practitioner | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2019-09-09 |
| 1518422419 | Brooke Stroud Martin | Chiropractor | 3204 Archdale Rd, Archdale, NC 27263-2710 | 2019-02-05 |
| 1558846998 | Brooke Lashea Martin | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2018-10-02 |
| 1548762818 | Brooke Martin | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2018-03-02 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
| 1760920094 | Brooke Martin | Physical Therapist | 10626 Clemson Blvd, Seneca, SC 29678-4526 | 2017-02-07 |
| Street Address |
1115 US HIGHWAY 259 S |
| City | HENDERSON |
| State | TX |
| Zip Code | 75654-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295920957 | Robert Joseph Griffith | Nurse Practitioner | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2007-09-06 |
| 1518443324 | Amsale Derese | Dentist | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2018-07-15 |
| 1861905523 | Brenda S Fountain | Nurse Practitioner | 1115 Us Highway 259 S, Henderson, TX 75654 | 2017-11-15 |
| 1851611503 | Judith Denise Sutherland | Social Worker | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2010-06-04 |
| 1407045735 | Sharavana Kumar Gajapathi | Dentist | 1115 Us Highway 259 S, Henderson, TX 75654-3629 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657689 | Danielle Villanueva | Lactation Consultant, Non-RN | 502 Smith Street, Henderson, TX 75654 | 2020-04-06 |
| 1194374488 | Peggie Foreman | Technician | 6984 7.m. 13 W, Henderson, TX 75654 | 2019-09-09 |
| 1174086714 | Kc Creek Equestrian, LLC | Psychologist | 9906 Cr 468 W, Henderson, TX 75654 | 2019-04-10 |
| 1639529753 | J.l. Miguez, Inc. | Hearing Aid Equipment | 522 Us Hwy 79 South, Suite B, Henderson, TX 75654 | 2016-06-20 |
| 1073940227 | Amberly Hopson | Nurse Practitioner | 1115 U.S. 259, Henderson, TX 75654 | 2013-10-02 |
| 1790002632 | Chris Cummings | Marriage & Family Therapist | 1048 County Road 306d, Henderson, TX 75654 | 2010-05-03 |
| 1649412354 | Mt. Enterprise Community Health Clinic | Clinic/Center | 1115 Highway 259 South, Henderson, TX 75654 | 2009-03-26 |
| 1861678146 | Crystal Cloutier | Occupational Therapy Assistant | 2009 Price St, Henderson, TX 75654 | 2008-01-16 |
| 1477739225 | Wcg Henderson Home Health Care Supply LLC | Durable Medical Equipment & Medical Supplies | 702 Fair Park Dr., Suite 103, Henderson, TX 75654 | 2008-01-10 |
| 1316127806 | Advancing At Home Health Care LLC | Home Health | 702 Fair Park Dr, Suite 101, Henderson, TX 75654 | 2007-11-13 |
| Find all providers in zip 75654 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227870 | Raven Nicole Pirtle | Nurse Practitioner | 1245 Glenshiel Dr, Henderson, KY 42420-2529 | 2020-08-31 |
| 1811509359 | Kristi Lynn Navarette | Nurse Practitioner | 3058 Hushed Sonnet Ave, Henderson, NV 89044-0558 | 2020-08-17 |
| 1275143711 | Kristyn Cisilino | Nurse Practitioner | 2556 Chateau Clermont St, Henderson, NV 89044-0459 | 2020-08-07 |
| 1972113363 | Rini Susan Mathews | Nurse Practitioner | 3396 Dalmore St, Henderson, NV 89044-1722 | 2020-07-31 |
| 1033735014 | Savinder Kaur Virk | Nurse Practitioner | 10747 Shasta Glow Ct, Henderson, NV 89052-8691 | 2020-06-24 |
| 1811517022 | D Ana Curtis | Nurse Practitioner | 815 Chameleon Star Ave, Henderson, NV 89015-2411 | 2020-04-17 |
| 1275169013 | Joyce Carlos Damiano | Nurse Practitioner | 2839 Saint Rose Pkwy Ste 130, Henderson, NV 89052-4849 | 2020-03-12 |
| 1568008878 | Oliver Torrefranca | Nurse Practitioner | 910 Monte Etna Ave, Henderson, NV 89012-2654 | 2019-11-21 |
| 1568006864 | Melissa Ann Ridella | Nurse Practitioner | 1748 W Horizon Ridge Pkwy, Henderson, NV 89012-4833 | 2019-10-30 |
| 1245881317 | Edith Borgert | Nurse Practitioner | 3039 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-4193 | 2019-09-20 |
| Find all providers in HENDERSON | ||||
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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.