Individual provider Active NPI

France Line Martial

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1003641291
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11034861 Issued in FL
Practice address
190 NE 199TH St
Miami, FL 33179-2927
Phone
(786) 589-7840
Fax
(305) 391-3551
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11034861 FL Primary

Addresses

Primary practice location

190 NE 199TH St
Miami, FL 33179-2927

Mailing address

618 NW 46TH Ave
Delray Beach, FL 33445-2117
Phone (561) 303-9355

Other practice location 1

618 NW 46th Ave
Delray Beach, FL 33445-2117
Phone (561) 303-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231001715 FL Practitioner - Nurse Practitioner 0840727996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11034861FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anuvia Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Chesca Line Health LLC Current Accepting new patients

Locations

190 NE 199th St
Ste 102
Miami, FL 33179
Phone (305) 832-9385

Interoperability endpoints

  • Direct secure messaging: france.line.martial.1@3342.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1003641291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 NW 46TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452117",
            "telephone_number": "561-303-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NE 199TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792927",
            "telephone_number": "786-589-7840",
            "fax_number": "305-391-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 NW 46th Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334452117",
            "country_code": "US",
            "telephone_number": "561-303-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIAL",
        "first_name": "FRANCE LINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.