KELLY MARTIN (NPI# 1962014530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962014530 |
| Entity Type | Individual |
| Full Name | KELLY MARTIN |
| Credential | BS, MS |
| Practice Address |
225 Town Square Dr Lusby MD 20657-6534 |
| Mailing Address |
48346 Long Ln Lexington Park MD 20653-4527 |
| Practice Telephone | 6109527881 |
| Mailing Telephone | 6109527881 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1376900654 | Kelly Ann Martin | Counselor | 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 | 2016-01-18 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Street Address |
225 TOWN SQUARE DR |
| City | LUSBY |
| State | MD |
| Zip Code | 20657-6534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720127103 | Rafik A. Nasr, M.d., P.a. | Family Medicine | 225 Town Square Dr, Suite 2, Lusby, MD 20657-6534 | 2007-02-05 |
| 1437612058 | Jennifer Barbara Novak | Social Worker | 225 Town Square Dr, Lusby, MD 20657-6534 | 2019-04-10 |
| 1710304183 | Erica Gunther | Counselor | 225 Town Square Dr, Lusby, MD 20657-6534 | 2014-03-24 |
| 1790038172 | Blue Sails Counseling and Consulting, Inc | Community/Behavioral Health | 225 Town Square Dr, Suite 3, Lusby, MD 20657-6534 | 2012-10-22 |
| 1558611277 | Dawn M Edwards | Social Worker | 225 Town Square Dr, Suite 3, Lusby, MD 20657-6534 | 2012-09-11 |
| 1982910949 | Rafik A Nasr Md Pa | Acupuncturist | 225 Town Square Dr, Lusby, MD 20657-6534 | 2010-08-27 |
| 1982850103 | Velea Renee Kelley | Social Worker | 225 Town Square Dr, Box 1550, Lusby, MD 20657-6534 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270981 | Weis Markets, Inc. | Pharmacy | 210 H G Trueman Rd., Lusby, MD 20657 | 2018-06-29 |
| 1629592845 | Shannon Crush | Doula | 668 Santa Fe Trl, Lusby, MD 20657 | 2017-07-30 |
| 1386009405 | Lusby Dental LLC | Dentist | 10025 Hg Trueman Road, Lusby, MD 20657 | 2015-12-16 |
| 1497157515 | Amazing Hands Home Care | Home Health | 7810 Kirby Ct, Lusby, MD 20657 | 2014-09-19 |
| 1528381027 | Kristina Sarah Smith | Physical Therapist | 11855 H.g. Trueman Rd, Lusby, MD 20657 | 2010-03-11 |
| 1700067618 | Friendly Pharmacy LLC | Pharmacy | 226 Town Center Dr, Lusby, MD 20657 | 2007-11-19 |
| 1831214089 | Mary F Maxwell | Physical Therapy Assistant | 11855 H G Trueman Rd, Gateau Physical Therapy, Lusby, MD 20657 | 2007-03-20 |
| 1356893069 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 13360 Hg Truman Road, Solomons, MD 20657 | 2016-10-28 |
| 1356466502 | Anita Mccullum | Physical Therapy Assistant | 11855 H G Trueman Rd, Gateau Physical Therapy, Lusby, MD 20657 | 2007-03-20 |
| 1922579010 | Lelia M. Reed | Registered Nurse | 8195 Heron Ln, Lusby, MD 20657-2029 | 2018-12-16 |
| Find all providers in zip 20657 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618600 | Cynthia Wilson | Nutritionist | 1812 Wetherbourne Ct, Bowie, MD 20721-2772 | 2020-10-31 |
| 1568060903 | Apple Wellness and Nutrition Center. LLC | Nutritionist | 6132 Wheatland Rd, Baltimore, MD 21228-2762 | 2020-10-16 |
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1508489345 | Contemporary Beauty and Wellness Healing Hands | Nutritionist | 5557 Baltimore Ave Ste 500-1028, Hyattsville, MD 20781-1922 | 2020-05-27 |
| 1487201596 | Samantha Louie | Nutritionist | 14320 Potomac Heights Ln, Rockville, MD 20850-3844 | 2019-08-22 |
| 1841851292 | Adjoa Oriyomi | Nutritionist | 3114 Needleleaf Ln, Springdale, MD 20774-2518 | 2019-06-26 |
| 1275017063 | Ericka Evans | Nutritionist | 3509 W Mulberry St, Baltimore, MD 21229-3041 | 2018-09-18 |
| 1275022493 | Megan Copeland | Nutritionist | 40173 Golden Beach Rd, Mechanicsville, MD 20659-6081 | 2018-05-02 |
| 1033627468 | Keri Connell | Nutritionist | 4801 Dorsey Hall Dr Ste 201, Ellicott City, MD 21042-7749 | 2018-01-19 |
| 1487193314 | Lily Assefa | Nutritionist | 11306 College View Dr, Silver Spring, MD 20902-2529 | 2017-02-12 |
| Find all providers with the same taxonomy | ||||
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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.