Individual provider Active NPI

Jemia Darice Martin, FNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1023475142
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207422 Issued in OK
Practice address
1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone
(918) 400-7001
Fax
(539) 202-5070
NPI assigned
Jan 20, 2016
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 812750 NV
Family Nurse Practitioner 363LF0000X 207422 OK Primary

Addresses

Primary practice location

1538 N Lewis Ave
Tulsa, OK 74110-2535

Mailing address

PO Box 740020
Atlanta, GA 30374-0020
Phone (918) 400-7001

Other practice location 1

9480 Gateway Dr Ste 100
Reno, NV 89521-3956
Phone (775) 788-7600 ext. 123

Other practice location 2

11511 E 31st St
Tulsa, OK 74146-1908
Phone (918) 400-7002

Other names 1

  • Prof. Jemia Darice Martin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NV, TX, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160630001103 IL Practitioner - Nurse Practitioner 0941592505 Reassigns benefits to 2 organizations
I20201117002984 NV Practitioner - Nurse Practitioner 0941592505 Reassigns benefits to 1 organization
I20230221001800 TX Practitioner - Nurse Practitioner 0941592505 Reassigns benefits to 2 organizations
I20250630002412 OK Practitioner - Nurse Practitioner 0941592505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Oklahoma, LLCGroup PAC ID 1355746769, 31 clinicians

Practice addresses (Care Compare)

11511 E 31St St
Tulsa, OK 74146-1908
Phone (918) 400-7002

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
812750NVMDFamily Nurse Practitioner
207422OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Sep 2, 2024 Accepting new patients
Cook County CurrentSince May 24, 2016 Accepting new patients
Howard Brown Health Center CurrentSince Nov 15, 2017 Accepting new patients
Nevada Urban Indians, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Cook County CurrentSince May 24, 2016 Accepting new patients
Howard Brown Health Center CurrentSince Nov 15, 2017 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cook County Current Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Family CurrentSince Jul 21, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Sep 2, 2024 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

641 W 63rd St
Chicago, IL 60621
Phone (312) 413-4070

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

236 E Winnie Ln
Carson City, NV 89706
Phone (775) 788-7600

9480 Gateway Dr
Ste 100
Reno, NV 89521
Phone (775) 788-7600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

11511 E 31st St
Tulsa, OK 74146
Phone (918) 400-7002

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1023475142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740020",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740020",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 N LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741102535",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9480 Gateway Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213956",
            "country_code": "US",
            "telephone_number": "775-788-7600 x123",
            "fax_number": "775-827-3104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461908",
            "country_code": "US",
            "telephone_number": "918-400-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEMIA",
        "middle_name": "DARICE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "812750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEMIA",
            "last_name": "MARTIN",
            "middle_name": "DARICE",
            "prefix": "PROF.",
            "credential": "FNP-BC, NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.