Active NPI
Michelle Lee Martin
- School Registered Nurse
- Pasadena, MD
National Provider Identifier
1154549913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R145691
- Practice address
- 8572 Fort Smallwood Rd
Pasadena, MD 21122-2600 - Phone
- (410) 222-6478
- NPI assigned
- Apr 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R145691 | MD | Primary |
Addresses
Primary practice location
8572 Fort Smallwood Rd
Pasadena, MD 21122-2600
Mailing address
8572 Fort Smallwood Rd
Pasadena, MD 21122-2600
Phone (410) 222-6478
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R145691 | MD | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154549913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8572 FORT SMALLWOOD RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222600",
"telephone_number": "410-222-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8572 FORT SMALLWOOD RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222600",
"telephone_number": "410-222-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MICHELLE",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MD",
"license": "R145691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.