Organization Active NPI

Mary Martin Arnp Nursing Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1093045064
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MARY MARTIN ARNP NURSING SERVICES PLLC
Practice address
4634 Luhr Rd NE
Olympia, WA 98516-2391
Phone
(206) 291-6644
Fax
(360) 459-0596
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Ms. Mary Martin, ARNP
Title
Sole Proprietor
Phone
(206) 291-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4634 Luhr Rd NE
Olympia, WA 98516-2391

Mailing address

4634 Luhr Rd NE
Olympia, WA 98516-2391
Phone (206) 291-6644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1093045064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 LUHR RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985162391",
            "telephone_number": "206-291-6644",
            "fax_number": "360-459-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 LUHR RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985162391",
            "telephone_number": "206-291-6644",
            "fax_number": "360-459-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MARTIN ARNP NURSING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "206-291-6644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.