Individual provider Active NPI

Libbi Sue Martino, CNM / WHNP

  • Advanced Practice Midwife
  • Knoxville, TN
National Provider Identifier
1093896300
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN15906 Issued in TN
Practice address
939 Emerald Ave
Suite 806
Knoxville, TN 37917-4502
Phone
(865) 647-3450
Fax
(865) 647-3459
NPI assigned
Oct 17, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN15906 TN Primary

Addresses

Primary practice location

939 Emerald Ave
Suite 806
Knoxville, TN 37917-4502

Mailing address

939 Emerald Ave
Suite 806
Knoxville, TN 37917-4502
Phone (865) 647-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
15906TNMDSocial Worker
002087NYMDRegistered Dietitian
APN15906TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Obstetrics-Gynecology Group CurrentSince Jan 29, 2024 Accepting new patients

Locations

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

50 E South St
Ste 300
Geneseo, NY 14454
Phone (585) 243-0080

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

Interoperability endpoints

  • Direct secure messaging: lmartino481014@direct.urmc.rochester.edu

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1093896300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 806",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-647-3450",
            "fax_number": "865-647-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 806",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-647-3450",
            "fax_number": "865-647-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "LIBBI",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "CNM / WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN15906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.