Individual provider Active NPI

Dorine H Martin, F.N.P.

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1093811705
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004147 Issued in NC
Practice address
727 W Hargett St Ste 103
Raleigh, NC 27603-1669
Phone
(919) 803-8038
Fax
(919) 882-8875
NPI assigned
Sep 16, 2006
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 49691 SC
Family Nurse Practitioner 363LF0000X 5004147 NC Primary

Addresses

Primary practice location

727 W Hargett St Ste 103
Raleigh, NC 27603-1669

Mailing address

727 W Hargett St Ste 103
Raleigh, NC 27603-1669
Phone (919) 803-8038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100312000908 NC Practitioner - Nurse Practitioner 1153456389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richardson Martin IncorporatedGroup PAC ID 1658766431, 3 clinicians

Practice addresses (Care Compare)

727 W Hargett St
Suite 103
Raleigh, NC 27603-1669
Phone (919) 803-8038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1667SCMDPhysician Assistant
49691SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richardson Martin Incorporated Family CurrentSince Nov 30, 2021 Accepting new patients
Max Psychiatry PC CurrentSince Aug 27, 2019 Accepting new patients
Doctors Home Visits of the Triad, PC Past Accepting new patients
Healthcare Management Group Inc Past Accepting new patients
Physicians Home Visits, PC Past Accepting new patients
Healthcare Management Group, Inc. Past Accepting new patients

Locations

1011 W Williams St
Ste 106
Apex, NC 27502
Phone (919) 386-0402

727 W Hargett St
Ste 103
Raleigh, NC 27603
Phone (919) 803-8038

Organizations & group practices 6

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1093811705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W HARGETT ST STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031669",
            "telephone_number": "919-803-8038",
            "fax_number": "919-882-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W HARGETT ST STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031669",
            "telephone_number": "919-803-8038",
            "fax_number": "919-882-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DORINE",
        "middle_name": "H",
        "name_prefix": "Miss",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "49691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.