Active NPI
Marti Melinda Martin, CRNA
- Certified Registered Nurse Anesthetist
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 01492
- Practice address
- 3421 Medical Park Dr.
Monroe, LA 71203 - Phone
- (318) 388-7890
- NPI assigned
- Jan 25, 2007
- Last updated
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 01492 | LA | Primary |
Addresses
Primary practice location
3421 Medical Park Dr.
Monroe, LA 71203
Mailing address
1687 Highway 80 E
Calhoun, LA 71225-9122
Phone (318) 397-4092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1966932 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01492 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fontenot & McIntosh, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Twin City Anesthesia | Past | Accepting new patients |
Interoperability endpoints
- marti.martingarlingtoncrna.p1@direct.lapaincare.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- West Monroe, LA
- NPI 1023062718
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1184779431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 HIGHWAY 80 E",
"city": "CALHOUN",
"state": "LA",
"postal_code": "712259122",
"telephone_number": "318-397-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 MEDICAL PARK DR.",
"city": "MONROE",
"state": "LA",
"postal_code": "71203",
"telephone_number": "318-388-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARTI",
"middle_name": "MELINDA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "01492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1966932",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.