Jennifer Lynn Martin, RN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

151234 Issued in NC

Practice address

2834 Woodruff Street
Fort Liberty, NC 28310-0001

Phone

(910) 907-7050

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1194551069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 WOODRUFF STREET",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283102951",
            "telephone_number": "910-907-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 WOODRUFF STREET",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "151234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalahan Carolina Machado Leon
• Sakeisha Magee, LISW-CP
• Samantha Manzo, OD
• Zachary Markley, DPM
• Allison Paige Martin
• Lauren Marucci
• Jarrod Alan Mask
• Jonathan Maten
• Kymberli Mathis, ATC
• John William Reber Matthews, DDS

• Case Management Registered Nurse in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.