Individual provider Active NPI

Jamie R Martin

  • Psychiatric/Mental Health Nurse Practitioner
  • Belpre, OH
National Provider Identifier
1023882966
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035399 Issued in OH
Practice address
807 Farson St Ste 101
Belpre, OH 45714-1000
Phone
(740) 423-3611
NPI assigned
Nov 10, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035399 OH Primary

Addresses

Primary practice location

807 Farson St Ste 101
Belpre, OH 45714-1000

Mailing address

7365 Walker Rd
Walker, WV 26180-3615
Phone (304) 639-1514

Other names 1

  • Jamie R Lee Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.martin@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240110004686 OH Practitioner - Nurse Practitioner 7214388552 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Dec 11, 2023 Accepting new patients
Marietta Memorial Hospital CurrentSince Dec 11, 2023 Accepting new patients
Marietta Memorial Hospital PastSince Nov 12, 2023 Accepting new patients

Locations

807 Farson St
Ste 101
Belpre, OH 45714
Phone (740) 423-3611

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1023882966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 WALKER RD",
            "city": "WALKER",
            "state": "WV",
            "postal_code": "261803615",
            "telephone_number": "304-639-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FARSON ST STE 101",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141000",
            "telephone_number": "740-423-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMIE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.martin@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 101",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LEE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.