Nicole Marie Martin, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP61055287 Issued in WA

Practice address

3901 W Court St
Pasco, WA 99301-2776

Phone

(866) 904-7721

NPI assigned

Feb 12, 2019

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heart & Hands Midwifery and Family Healthcare PLLC

  • Advanced Practice Midwife
  • Kalispell, MT
  • NPI 1023518503
  Medicare reassignment NPD
• Kalispell Midwives & Womens Health Inc

  • Advanced Practice Midwife
  • Kalispell, MT
  • NPI 1194392712
  Medicare reassignment
• Doctor Amy Haynes Inc

  dba Full Circle Natural Medical Clinic

  • Naturopath
  • Missoula, MT
  • NPI 1336745652
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1114483419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012776",
            "telephone_number": "866-904-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012776",
            "telephone_number": "866-904-7721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 S 2nd St W",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598011832",
            "country_code": "US",
            "telephone_number": "406-721-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP61055287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikell Marks
• Amanda N. Marrs, LMHCA
• Nicolas C Marsh, DPT
• Makenzi Rae Martin
• Mary Martin
• Alejandra Martinez-Cardoso, MSW, LICSW
• Cindy Mireya Martinez, INTERPRETER
• Ismael Martinez Jr., MHP
• Jocelyn Martinez
• Lhisbed G Martinez

• Women's Health Nurse Practitioner in Pasco, WA
• Providers in Pasco, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.