Jarod Raymond Martin

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

532 Val Vista St Ste 107
Sheridan, WY 82801-3655

Phone

(307) 751-5738

NPI assigned

Nov 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1942537980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 VAL VISTA ST STE 107",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013655",
            "telephone_number": "307-751-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 VAL VISTA ST STE 107",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013655",
            "telephone_number": "307-751-5738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Coffeen Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015778",
            "country_code": "US",
            "telephone_number": "307-675-1898",
            "fax_number": "307-222-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAROD",
        "middle_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marchant, RN
• Gregory Gerritt Marino, DO
• Nicole Lynn Marney
• Diane Marshall
• Brianne Alysse Martin, OT
• Lindsay Ann Martin
• Kelsi Marie Martinez, MS, CCC-SLP
• Martini Anesthesia Services LLC
• Elizabeth M Martini, MA, CRC, LPC
• Kassahn Mathson, LCSW

• Developmentally Disabled Services Day Training Agency in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Developmentally Disabled Services Day Training Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.