Individual provider Active NPI

Christina Sue Martin, CRNP

  • Adult Health Nurse Practitioner
  • Honey Brook, PA
National Provider Identifier
1093257206
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP017238 Issued in PA
Practice address
471 Pequea Ave
Honey Brook, PA 19344-1084
Phone
(610) 273-2429
NPI assigned
Nov 6, 2016
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP017238 PA Primary
Registered Nurse 163W00000X RN51415L PA

Addresses

Primary practice location

471 Pequea Ave
Honey Brook, PA 19344-1084

Mailing address

740 Lammey Rd
Honey Brook, PA 19344-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170713002707 PA Practitioner - Nurse Practitioner 5890065486 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN51415LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Behavioral Health Hospital LLC CurrentSince Jun 13, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 17, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 17, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients

Locations

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

Interoperability endpoints

  • Direct secure messaging: christina.martin@familypracticeofhoneybrook.chartmakerdirect.com

Organizations & group practices 4

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": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1093257206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 LAMMEY RD",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193449000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 PEQUEA AVE",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193441084",
            "telephone_number": "610-273-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTINA",
        "middle_name": "SUE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP017238",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN51415L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honey Brook, PA

Sources for this page

Verify at the official NPI Registry.