Individual provider Active NPI

Shayna Martinovich, MSN, CNM, BC-WHNP

  • Advanced Practice Midwife
  • Annapolis, MD
National Provider Identifier
1235717240
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R189306 Issued in MD
Practice address
2003 Medical Pkwy Ste G50
Annapolis, MD 21401-3067
Phone
(443) 481-4400
Fax
(410) 573-1097
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R189306 MD Primary

Addresses

Primary practice location

2003 Medical Pkwy Ste G50
Annapolis, MD 21401-3067

Mailing address

223 Treyburn Way
Arnold, MD 21012-2576
Phone (301) 908-5940

Other practice location 1

7501 Greenway Center Dr Ste 910
Greenbelt, MD 20770-3514
Phone (301) 982-0657

Other practice location 2

202 Coursevall Dr Ste 101
Centreville, MD 21617-2805
Phone (410) 810-0767

Other practice location 3

2000 Medical Pkwy Ste 309
Annapolis, MD 21401-3745
Phone (410) 224-1133

Other practice location 4

4175 N Hanson Ct Ste 203
Bowie, MD 20716-3183
Phone (410) 224-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202003795 MD Practitioner - Certified Nurse Midwife (CNM) 3779018585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Aug 30, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 30, 2024 Accepting new patients

Locations

2003 Medical Pkwy
Ste G50
Annapolis, MD 21401
Phone (410) 573-1094

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2000 Medical Pkwy
Ste 309
Annapolis, MD 21401
Phone (410) 224-1133

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 203
Bowie, MD 20716
Phone (410) 224-1133

202 Coursevall Dr
Ste 101
Centreville, MD 21617
Phone (410) 758-3303

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

7501 Greenway Center Dr
Ste 910
Greenbelt, MD 20770
Phone (301) 982-0657

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1235717240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 TREYBURN WAY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122576",
            "telephone_number": "301-908-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE G50",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013067",
            "telephone_number": "443-481-4400",
            "fax_number": "410-573-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Greenway Center Dr Ste 910",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703514",
            "country_code": "US",
            "telephone_number": "301-982-0657",
            "fax_number": "240-956-5166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Coursevall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MD",
            "postal_code": "216172805",
            "country_code": "US",
            "telephone_number": "410-810-0767",
            "fax_number": "410-630-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Medical Pkwy Ste 309",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013745",
            "country_code": "US",
            "telephone_number": "410-224-1133",
            "fax_number": "410-266-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 N Hanson Ct Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163183",
            "country_code": "US",
            "telephone_number": "410-224-1133",
            "fax_number": "410-166-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINOVICH",
        "first_name": "SHAYNA",
        "credential": "MSN, CNM, BC-WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R189306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.