Active NPI
Laura Mae Martin, RN MSN FNP-C
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1124353966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18471
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (530) 712-7457
- NPI assigned
- Oct 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18471 | CA | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (530) 712-7457
Other practice location 1
5910 Clark Rd
suite U
Paradise, CA 95969-4856
Phone (530) 872-9735
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18471 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feather River Hospital | Past | Accepting new patients | |
| Feather River Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Paradise, CA
- NPI 1518940667
-
- Oxygen Equipment & Supplies (DME)
- Chico, CA
- NPI 1932583622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1124353966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "530-712-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "530-712-7457"
}
],
"practiceLocations": [
{
"address_1": "5910 Clark Rd",
"address_2": "suite U",
"address_purpose": "LOCATION",
"city": "Paradise",
"state": "CA",
"postal_code": "959694856",
"country_code": "US",
"telephone_number": "530-872-9735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "LAURA",
"middle_name": "MAE",
"credential": "RN MSN FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "18471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.