Individual provider Active NPI

Rose Terese St. Martin, RN,OGNP

  • Women's Health Nurse Practitioner
  • Chatham, MI
National Provider Identifier
1083760193
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4704068901 Issued in MI
Practice address
E4289 Paulsen Rd
Chatham, MI 49816-9638
Phone
(906) 446-3395
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704068901MIMDWomen's Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704068901 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

E4289 Paulsen Rd
Chatham, MI 49816-9638

Mailing address

E4289 Paulsen Rd
Chatham, MI 49816-9638
Phone (906) 446-3395

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083760193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E4289 PAULSEN RD",
            "city": "CHATHAM",
            "state": "MI",
            "postal_code": "498169638",
            "telephone_number": "906-446-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E4289 PAULSEN RD",
            "city": "CHATHAM",
            "state": "MI",
            "postal_code": "498169638",
            "telephone_number": "906-446-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. MARTIN",
        "first_name": "ROSE",
        "middle_name": "TERESE",
        "name_prefix": "Ms.",
        "credential": "RN,OGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704068901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.