Jean E Martin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704080677 Issued in MI

Practice address

336 S River Ave
Holland, MI 49423-3326

Phone

(616) 394-3788

NPI assigned

Jan 2, 2009

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

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.

• Holland Community Health Center

  • Podiatrist
  • Holland, MI
  • NPI 1659552214
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1023254604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99333",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480999333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S RIVER AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233326",
            "telephone_number": "616-394-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEAN",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704080677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D. Berard, DDS, PC
• Jessica Markosky
• Roberto Carlos Marroquin Lozada
• Jeffrey Michael Marschall, CPRC, CADC-DP
• Erika Martin
• Katherine Martin
• Richard James Martin, DDS
• Mary Free Bed Orthotics and Prosthetics
• Mary Louder, DO PLLC
• Sheryl Ann Mascorro, RN

• Nurse Practitioner in Holland, MI
• Providers in Holland, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.