Active NPI
Ellen Mary Senna Martin, CNM
- Advanced Practice Midwife
- Lebanon, NH
National Provider Identifier
1144243742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 031663-23-01
- Practice address
- 1 Medical Center Dr
DHMC, CNM Service
Lebanon, NH 03756-1000 - Phone
- (603) 653-9303
- Fax
- (603) 650-0901
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 031663-23-01 | NH | Primary |
| Advanced Practice Midwife | 367A00000X | 101-0012743 | VT |
Addresses
Primary practice location
1 Medical Center Dr
DHMC, CNM Service
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC, CNM Service
Lebanon, NH 03756-1000
Phone (603) 653-9303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006096 | Medicaid | VT | |
| 30011590 | Medicaid | NH |
Other names 1
- Ellen S Martin
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0012743 | VT | MD | Advanced Practice Midwife |
Interoperability endpoints
- emartin14726@direct.dartmouth-hitchcock.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1144243742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC, CNM SERVICE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-9303",
"fax_number": "603-650-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC, CNM SERVICE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-9303",
"fax_number": "603-650-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENNA MARTIN",
"first_name": "ELLEN",
"middle_name": "MARY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NH",
"license": "031663-23-01",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VT",
"license": "101-0012743",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006096",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011590",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "MARTIN",
"middle_name": "S",
"credential": "CNM",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.