Active NPI
Christopher B Martin
- Non-emergency Medical Transport (VAN)
- Hermitage, TN
National Provider Identifier
1114631876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 095585205
- Practice address
- 121 Aarons Cress Blvd
Hermitage, TN 37076-2615 - Phone
- (901) 930-8823
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 095585205 | TN | Primary |
Addresses
Primary practice location
121 Aarons Cress Blvd
Hermitage, TN 37076-2615
Mailing address
121 Aarons Cress Blvd
Hermitage, TN 37076-2615
Phone (901) 930-8823
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopher.martin@martinsmusiccity.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095585205 | TN | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1114631876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 AARONS CRESS BLVD",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762615",
"telephone_number": "901-930-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 AARONS CRESS BLVD",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762615",
"telephone_number": "901-930-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TN",
"license": "095585205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopher.martin@martinsmusiccity.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "121 Aarons Cress Blvd",
"city": "Hermitage",
"state": "TN",
"country_code": "US",
"postal_code": "370762615",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.