SUSANNAH MARTELL


Address: 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374
Phone: 5035880076

SUSANNAH MARTELL (NPI# 1912358730) 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) 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

Taxonomy

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

Office Location

Street Address 3896 BEVERLY AVE NE
BLDG J, SUITE 40
City SALEM
State OR
Zip Code 97305-1374

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SALEM
Zip Code 97305

Improve Information

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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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