Ava Ruth Martin, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024170809 Issued in VA

Practice address

RT 3 Box 1700
Jonesville, VA 24263

Phone

(276) 346-3590

Fax

(276) 346-3612

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Charles Health Council Inc

  dba Thompson Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vansant, VA
  • NPI 1801013354
  Medicare reassignment NPD
• St Charles Health Council Inc

  dba Coeburn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Coeburn, VA
  • NPI 1942322003
  NPD
• St. Charles Health Council Inc

  dba Jonesville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Jonesville, VA
  • NPI 1295857993
  NPD
• Frontier Health

  dba Lee County Behavioral Health Services

  • Case Management Agency
  • Jonesville, VA
  • NPI 1659436228
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1205974102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-5310",
            "fax_number": "276-454-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 3 BOX 1700",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "24263",
            "telephone_number": "276-346-3590",
            "fax_number": "276-346-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AVA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001169717",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Lee, PA
• Betty J Lemarr, MED
• Tonia Lynn Lewis
• Christina M Ludeker, LLPC
• Amy Michele Mabe
• Nikki Lin Martin, LPN
• Debbie Ann McConnell
• Steffany Jane McElyea, LPN
• Shannon Renee Moles
• Mountain Home Vamc

• Psychiatric/Mental Health Nurse Practitioner in Jonesville, VA
• Providers in Jonesville, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.