Lisa Jane Martin, CNS ARNP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RX11806 Issued in OH

Practice address

3791 State Route 63
Lebanon, OH 45036-9371

Phone

(513) 932-1211

Fax

(513) 932-2666

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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

• Inner Pathways PLLC

  • Mental Health Counselor
  • Erlanger, KY
  • NPI 1225196181
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1184785115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 STATE ROUTE 63",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369371",
            "telephone_number": "513-932-1211",
            "fax_number": "513-932-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 STATE ROUTE 63",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369371",
            "telephone_number": "513-932-1211",
            "fax_number": "513-932-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "CNS ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "KYARNP2789S",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KY",
            "license": "KYARNP2789S",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RX11806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78003522",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Maresca
• Bryan Marsh
• Kylie Marshall, MSSLP-CFY
• Bobi Martin
• Brittany L Martin
• Nicole L Martin, BS, AA
• Thomas Nathan Martin
• Emily Martz
• Lorien P Mason, LPCC
• Bruce A Massing, DDS

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.