Active NPI
Caroline Robinson Martin, NP-C
- Family Nurse Practitioner
- Collierville, TN
National Provider Identifier
1164085262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25588
- Practice address
- 2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618 - Phone
- (901) 755-2900
- NPI assigned
- Apr 15, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25588 | TN | Primary |
Addresses
Primary practice location
2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618
Mailing address
348 N Rose Rd
Memphis, TN 38117-1520
Phone (901) 644-3167
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
- Credentials
- Nurse Practitioner
Interoperability endpoints
- https://api.platform.athenahealth.com/25830/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1164085262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 N ROSE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381171520",
"telephone_number": "901-644-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 110",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-755-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CAROLINE",
"middle_name": "ROBINSON",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "25588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.