Marquita Latoria Martin

Primary specialty

DriverTaxonomy code 172A00000X

License

46955 Issued in VA

Practice address

178 Nautico Way
Portsmouth, VA 23703-5469

Phone

(757) 920-9420

Fax

(757) 484-7256

NPI assigned

May 2, 2019

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

Other names 1

• Marquita Latoria Martin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1023673266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 NAUTICO WAY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035469",
            "telephone_number": "757-920-9420",
            "fax_number": "757-484-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 NAUTICO WAY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035469",
            "telephone_number": "757-920-9420",
            "fax_number": "757-484-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARQUITA",
        "middle_name": "LATORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "46955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARQUITA",
            "last_name": "MARTIN",
            "middle_name": "LATORIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nathan A. Marsh
• Ernest Marshall
• Robin A C Marshall, MD
• Angela W Martin, CCC-SLP
• JB Martin IV, DDS
• Merle Blair Martin II, M.D.
• Paxton Thomas Martin
• Tamara Martin, CRNA
• Wayne A. (Initial Only) Martin, L.C.S.W.
• Jill Martini, D.O.

• Driver in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.