Individual provider Active NPI

Claudia Martial, FNP

  • Family Nurse Practitioner
  • Fort Carson, CO
National Provider Identifier
1144776436
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000833 Issued in CO
Practice address
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone
(719) 526-7000
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173687 VA
Family Nurse Practitioner 363LF0000X 0000833 CO Primary

Addresses

Primary practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Mailing address

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223
Phone (719) 471-2273

Other practice location 1

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917
Phone (719) 471-2273 ext. 9

Other practice location 2

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917
Phone (719) 471-2273 ext. 9

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210729001240 CA Practitioner - Nurse Practitioner 2264720200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

111 S Westlake Blvd
Suite 110
Westlake Village, CA 91362-3807
Phone (805) 557-8177

19346 Nordhoff St
Northridge, CA 91324-2415
Phone (818) 727-2040

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010-6033
Phone (805) 914-5592

5652 Calle Real
Goleta, CA 93117-2317
Phone (805) 879-4239

6440 Platt Ave
West Hills, CA 91307-3216
Phone (818) 946-1103

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000833COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Clinical Network, LLC CurrentSince Jun 1, 2021 Accepting new patients
Exer Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
Cottage Medical Associates Past Accepting new patients

Locations

328 McMurray Rd
Ste 102
Buellton, CA 93427
Phone (805) 688-2600

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7070 Hollister Ave
Ste 103
Goleta, CA 93117
Phone (805) 324-9270

7070 Hollister Ave
Ste C23
Goleta, CA 93117

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

1606 E Clark Ave
#102
Orcutt, CA 93455

3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996

777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348

5652 Calle Real
Santa Barbara, CA 93117
Phone (805) 641-6033

1298 Coast Village Rd
Santa Barbara, CA 93108
Phone (805) 565-1565

3885 State St
Ste A
Santa Barbara, CA 93105
Phone (805) 569-7351

1846 N Broadway
#A
Santa Maria, CA 93454
Phone (805) 361-4279

3596 Skyway Dr
Ste A
Santa Maria, CA 93455

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1144776436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273",
            "fax_number": "719-380-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5799 Stetson Hills Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80917",
            "country_code": "US",
            "telephone_number": "719-471-2273 x9",
            "fax_number": "719-380-0228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5799 Stetson Hills Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80917",
            "country_code": "US",
            "telephone_number": "719-471-2273 x9",
            "fax_number": "719-380-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIAL",
        "first_name": "CLAUDIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0000833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.