Julie A Martin, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1155162 Issued in TX

Practice address

3401 W Davis St Ste H
Conroe, TX 77304-1841

Phone

(936) 231-8610

NPI assigned

Mar 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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 and National Provider Directory roles.

• Stephen F. Austin Community Health Center, Inc.

  dba Adoue Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818
  Medicare reassignment NPD
• Stephen F Austin Community Health Center,Inc

  dba Bacliff Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1144080151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 DAVIS RD",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732850",
            "telephone_number": "281-734-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W DAVIS ST STE H",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041841",
            "telephone_number": "936-231-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1155162",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11031644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1155162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Shea Martin, LCSW
• Amy Michelle Martin, RN
• Derek Abel Martin, DC
• Janice Martin, FNP-C
• Joshua Michael Martin, CRNA
• Kenneth Edward Martin
• Patricia Gayle Martin
• Sandra D. Martin, CNM
• Taylor Dwain Martin, MD
• Priscila Marisol Martinez Avila, STUDENT DOCTOR

• Family Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.