Jo Ellen Martin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R570613 Issued in MS

Practice address

835 Medical Center Drive
North Miss Medical Center West Point
West Point, MS 39773

Phone

(662) 495-2300

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mrs. Jo Ellen Collier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tupelo Anesthesia Group PA

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1558390443
  NPD (past)
• Vaughan Regional Medical Center LLC

  • Anesthesiology Physician
  • Selma, AL
  • NPI 1114088846

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356410401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 TAYLOR THURSTON RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39701",
            "telephone_number": "662-328-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MEDICAL CENTER DRIVE",
            "address_2": "NORTH MISS MEDICAL CENTER WEST POINT",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "39773",
            "telephone_number": "662-495-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R570613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "43080018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "CRNA022775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116137",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "COLLIER",
            "middle_name": "ELLEN",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keicia T Lynn, F.N.P.
• Charlotte Magnussen, M.D.
• Mangum Mississippi Transport LLC
• Nicole D Mangum
• Sharon P. Manning, M.S. CCC-SLP
• Ren Massey, Jr., D.C.
• Madison Taylor McBride, OD
• Sarah Ann McCarter, CF-SLP
• Meredith McClure, RD, LD
• Sandi Carline McKinney, COTA/L

• Certified Registered Nurse Anesthetist in West Point, MS
• Providers in West Point, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.