Individual provider Active NPI

Sandra Louise Martin, N.P.

  • Acute Care Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1154507242
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
226716 Issued in TX
Practice address
19701 Kingwood Dr
BLDG 10, St. C
Kingwood, TX 77339
Phone
(281) 547-4050
Fax
(832) 644-1475
NPI assigned
Jan 18, 2008
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 226716 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr
BLDG 10, St. C
Kingwood, TX 77339

Mailing address

19701 Kingwood Dr.
BLDG 10, St. C
Kingwood, TX 77339
Phone (281) 547-4050

Other practice location 1

12327 Grand Arches Ln
Humble, TX 77346-3690
Phone (281) 812-3795

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medic Network, PLLC Past Accepting new patients
North Belt East Medical Clinic PA PastSince Feb 29, 2016 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Padma R. Kumashi MD PA PastSince May 1, 2007 Accepting new patients
Essam a Girgawy MD PA Past Accepting new patients
Care for You Provider Services PastSince Aug 1, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJAAAA

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1154507242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR.",
            "address_2": "BLDG 10, ST. C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-547-4050",
            "fax_number": "832-644-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BLDG 10, ST. C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-547-4050",
            "fax_number": "832-644-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12327 Grand Arches Ln",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773463690",
            "country_code": "US",
            "telephone_number": "281-812-3795",
            "fax_number": "281-812-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SANDRA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "226716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.