Marta Rosa Conner, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3830 S Cushman St
Fairbanks, AK 99701-7530

Phone

(907) 455-1416

Fax

(907) 455-1487

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marta Rosa Diamond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1962783530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 VILLANOVA DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093219",
            "telephone_number": "907-479-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017530",
            "telephone_number": "907-455-1416",
            "fax_number": "907-455-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "MARTA",
        "middle_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "DIAMOND",
            "middle_name": "ROSA",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori D Conklin, M.D.
• Carrie Lynn Conley, P.A.-C
• Dante Maria Conley, MD
• Chloe Carleen Conlon, PA-C
• Salma Connelly
• Zoey Conner
• Adam Brent Connolly
• Scott Conover, PA-C
• Angie Constantine
• Continuing Hope Counseling, LLC

• Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.