Maryum Martin

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1138274 Issued in TX

Practice address

1400 N Coit Rd Ste 302
McKinney, TX 75071-6656

Phone

(972) 877-2522

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Talis Healthcare LLC

  • Clinic/Center
  • Houston, TX
  • NPI 1821594060
  NPD (past)
• Texoma Neurology Associates, PA

  • Neurology Physician
  • Sherman, TX
  • NPI 1669470092
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1114792116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 TEEL PKWY STE 100-6014",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 302",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716656",
            "telephone_number": "972-877-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARYUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1138274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Charles Martin, MD
• Angela Marie Martin, BCBA
• Breana Martin, LMFT
• Deaann L Martin, CRNA
• Joelnika Martin
• Susan Catherine Martin, PT
• Aspen Lucille Elizabeth Martinez
• Ava Brooks Martinez, PT
• Cynthia Diane Martinez, FNP
• Heather Martinez

• Acute Care Nurse Practitioner in McKinney, TX
• Providers in McKinney, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.