SUSANNAH MARTELL (NPI# 1912358730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912358730 |
Entity Type | Individual |
Full Name | SUSANNAH MARTELL |
Credential | FNP |
Practice Address |
3896 Beverly Ave Ne Bldg J, Suite 40 Salem OR 97305-1374 |
Practice Telephone | 5035880076 |
Practice Fax Number | 5035880531 |
Mailing Telephone | 5035880076 |
Mailing Fax Number | 5035880531 |
Enumeration Date | 2016-06-22 |
Last Update Date | 2016-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 099000190RN | OR | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201606933NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3896 BEVERLY AVE NE BLDG J, SUITE 40 |
City | SALEM |
State | OR |
Zip Code | 97305-1374 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760431464 | Jenny L Stegeman-olsen | Family Medicine | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2006-05-09 |
1043668940 | Erin Elizabeth Steiner | Nurse Practitioner | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2016-06-01 |
1639570120 | Peter Bodmer | Physician Assistant | 3896 Beverly Ave Ne, Salem, OR 97305-1374 | 2014-09-16 |
1306275847 | Laura White | Counselor | 3896 Beverly Ave Ne, Building J, Suite 40, Salem, OR 97305-1374 | 2013-11-05 |
1093056053 | Lauren Truxillo | Physician Assistant | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2013-03-14 |
1376847012 | Vanessa B Lind | Physician Assistant | 3896 Beverly Ave Ne, Building J, Ste. 40, Salem, OR 97305-1374 | 2011-01-10 |
1992021745 | Leslie A Drapiza | Family Medicine | 3896 Beverly Ave Ne, Building J, Ste, Salem, OR 97305-1374 | 2010-04-19 |
1417273426 | Kathy Tran Shaw | Family Medicine | 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 | 2010-04-15 |
1750538310 | Skye Gustin Waggoner | Physician Assistant | 3896 Beverly Ave Ne, Bldg J, Ste 40, Salem, OR 97305-1374 | 2008-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
Find all providers in zip 97305 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
Find all providers in SALEM |
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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.