MS. STACY D MARTIN (NPI# 1992763569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992763569 |
| Entity Type | Individual |
| Full Name | MS. STACY D MARTIN |
| Other Name | MS. STACY MARTIN |
| Credential | CRNP |
| Practice Address |
1566 Pea Ridge Rd Scottsville KY 42164-7702 |
| Practice Telephone | 9282667022 |
| Mailing Telephone | 9282667022 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 134146 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN134146 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1710403514 | Stacy L Martin | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K # 3, Portales, NM 88130-7400 | 2017-08-14 |
| 1699143784 | Stacy Martin | Physical Therapy Assistant | 300 Strode Ave, Coatesville, PA 19320-2874 | 2015-09-08 |
| 1407239585 | Stacy Martin | Counselor | 3e Cleveland Ct, Greenville, SC 29607-2414 | 2015-07-07 |
| 1730512567 | Stacy Erin Martin | Counselor | 141 Loire Valley Dr, Pittsburgh, PA 15209-1070 | 2013-08-15 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| 1295987162 | Stacy A. Martin | Social Worker | 2005 Mclain St, Newport, AR 72112-3662 | 2008-10-22 |
| 1760688907 | Stacy Martin | Behavioral Analyst | 882 Eastchester Dr, Gahanna, OH 43230-5137 | 2007-06-25 |
| 1174132435 | Stacy A Martin | Nurse Practitioner | 4896 Highway 90 Ste A, Marianna, FL 32446-7840 | 2020-07-23 |
| 1467950824 | Stacy Angela Martin | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-01-30 |
| Street Address |
1566 PEA RIDGE RD |
| City | SCOTTSVILLE |
| State | KY |
| Zip Code | 42164-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1457697146 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 625 Kentucky 980, Scottsville, KY 42164 | 2012-12-27 |
| 1649336348 | Carpenter Dent Drugs Inc | Durable Medical Equipment & Medical Supplies | 1088 Veterans Memorial, Scottsville, KY 42164 | 2006-12-28 |
| 1548334105 | Ann Marie Davis | Dentist | 306 B North Court Street, Scottsville, KY 42164 | 2006-11-17 |
| 1194897959 | Angel Faye Duncan | Developmental Therapist | 147 Homestead Court, Scottsville, KY 42164 | 2006-11-15 |
| 1619517893 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1545 Bowling Green Rd Rm 803, Bowling Green, KY 42164 | 2020-01-15 |
| 1760043129 | Paige Jordan Flora | Rehabilitation Counselor | 512 Bowling Green Rd, Scottsville, KY 42164 | 2019-06-26 |
| 1427292531 | Hilltop Family Dental Care, Psc | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164 | 2009-04-21 |
| 1700989217 | Bowling Green Warren County Community Hospital Corporation | General Acute Care Hospital | 456 Burnley Rd, Scottsville, KY 42164 | 2006-09-07 |
| 1063969582 | Heather Shepherd | Social Worker | 512 Bowling Green Rd, Scottsville, KY 42164-0512 | 2016-09-01 |
| Find all providers in zip 42164 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184016685 | Amy Verst | Nurse Practitioner | 1501 Burnley Rd, Scottsville, KY 42164-9693 | 2015-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1639681992 | Jazmine Gabrielle Yates | Nurse Practitioner | 1330 S Mayo Trl Ste 201, Pikeville, KY 41501-2321 | 2017-10-26 |
| 1003335050 | Kathryn Alexis Perkins | Nurse Practitioner | 1016 Town Dr, Highland Heights, KY 41076-9753 | 2017-09-11 |
| 1386194447 | Morgan Chojnacki | Nurse Practitioner | Kentucky Clinic Pediatric High Bmi Clinic, 740 S. Limestone 2nd Floor Wing D, Lexington, KY 40536 | 2016-10-12 |
| 1811374887 | Hannah Lynn Puntney | Nurse Practitioner | 800 Rose St. Ms 235, Lexington, KY 40536 | 2015-04-29 |
| 1326454448 | Madisonville Pediatrics | Nurse Practitioner | 15 N Harrig St, Madisonville, KY 42431-2123 | 2014-07-09 |
| 1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
| 1467789974 | Amanda Faith Dressman | Nurse Practitioner | 1780 Nicholasville Rd Ste 301, Lexington, KY 40503-1413 | 2009-11-05 |
| 1932378593 | Katherine Elaine Fletcher | Nurse Practitioner | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2008-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILLE |
| Zip Code | 42164 |
Please comment or provide details below to improve the information on MS. STACY D MARTIN.
| 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.