Glenn Joseph Martin, RN, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN2325574 Issued in MA

Practice address

5 Zephyr Dr
Yarmouth Port, MA 02675-2372

Phone

(508) 280-1951

NPI assigned

Jul 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1194562637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ZEPHYR DR",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752372",
            "telephone_number": "508-280-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ZEPHYR DR",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752372",
            "telephone_number": "508-280-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GLENN",
        "middle_name": "JOSEPH",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2325574",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2325574",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN2325574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela G Mallowes, LMHC
• Rose Maloney
• Christina Malzenski, LICSW
• Richard D Marchand, D.M.D.
• Jeffrey David Martens, MD
• Gerald Stanley McClellan, BCBA
• Amanda Elizabeth McGerigle
• Mary McGreevy
• Meeting House Family Counseling
• Walter H. Meinzer II, D.D.S

• Case Management Registered Nurse in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Case Management Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.