Individual provider Active NPI

Paula M Martin, FNP-C

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1013637859
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31732 Issued in TN
Practice address
1590 Bonnie LN Ste 101
Cordova, TN 38016-0507
Phone
(901) 257-9060
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 31732 TN
Family Nurse Practitioner 363LF0000X 31732 TN Primary

Addresses

Primary practice location

1590 Bonnie LN Ste 101
Cordova, TN 38016-0507

Mailing address

1590 Bonnie LN Ste 101
Cordova, TN 38016-0507
Phone (901) 257-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230323000662 TN Practitioner - Nurse Practitioner 9537533070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Healthcare & Wellness CurrentSince Sep 4, 2022 Accepting new patients
Paula Mechelle Martin Inc. CurrentSince Sep 4, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 9, 2022 Accepting new patients

Locations

1590 Bonnie Ln
Ste 101
Cordova, TN 38016
Phone (901) 257-9060

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1013637859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 BONNIE LN STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160507",
            "telephone_number": "901-257-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 BONNIE LN STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160507",
            "telephone_number": "901-257-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "31732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.