Brandy Martin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

148351 Issued in OH

Practice address

3692 Hermosa Dr
Dayton, OH 45416-1118

Phone

(937) 567-2456

NPI assigned

Feb 24, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Blessed Way Transportation

  • Non-emergency Medical Transport (VAN)
  • Dayton, OH
  • NPI 1003523952
  NPD Authorized official

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1003276767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 HERMOSA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454161118",
            "telephone_number": "937-567-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 HERMOSA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454161118",
            "telephone_number": "937-567-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "148351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Surgical Associates LLC
• Lesley Martin-Mock, CRNA
• Aiofimi Martin
• Andrew Thomas Martin, MD
• Ashley J Martin
• Brenda Renia Martin, CDCA
• Brittani Martin
• Brooke Martin
• Carol S. Martin, C. PSY.D., TH.D.,
• Carrie A Martin, RN

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.