Individual provider Active NPI

Darlene Martin, MED, VATL, ATC

  • Athletic Trainer
  • Lynchburg, VA
National Provider Identifier
1174921852
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126000523 Issued in VA
Practice address
1971 University Blvd., MSC Box 710162
Liberty University, Dept of Public & Community Health
Lynchburg, VA 24515
Phone
(434) 592-4096
Fax
(434) 582-7261
NPI assigned
Dec 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126000523 VA Primary

Addresses

Primary practice location

1971 University Blvd., MSC Box 710162
Liberty University, Dept of Public & Community Health
Lynchburg, VA 24515

Mailing address

1971 University Blvd., MSC Box 710162
Liberty University, Dept of Public & Community Health
Lynchburg, VA 24515
Phone (434) 592-4096

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
Master of Education

State licenses

LicenseStateTypeSpecialty
0126000523VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1174921852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 UNIVERSITY BLVD., MSC BOX 710162",
            "address_2": "LIBERTY UNIVERSITY, DEPT OF PUBLIC & COMMUNITY HEALTH",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24515",
            "telephone_number": "434-592-4096",
            "fax_number": "434-582-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 UNIVERSITY BLVD., MSC BOX 710162",
            "address_2": "LIBERTY UNIVERSITY, DEPT OF PUBLIC & COMMUNITY HEALTH",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24515",
            "telephone_number": "434-592-4096",
            "fax_number": "434-582-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DARLENE",
        "name_prefix": "Prof.",
        "credential": "MED, VATL, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.