Carol A Martin, RNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

P01075 Issued in AR

Practice address

1001 Towson Ave
Fort Smith, AR 72901

Phone

(479) 709-7325

Fax

(479) 709-7335

NPI assigned

Oct 4, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Fort Smith Hma PBC Management, LLC

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1477888907
  NPD (past)
• Fort Smith Hma, LLC

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1578555736
  NPD (past)
• Sparks Medical Foundation

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1386634285
  NPD (past)
• Sparks Regional Medical Center

  • Skilled Nursing Facility
  • Fort Smith, AR
  • NPI 1992916308
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1245227362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021824",
            "telephone_number": "479-709-7399",
            "fax_number": "479-709-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-709-7325",
            "fax_number": "479-709-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "P01075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148971758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004770A",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Marschewski, LAC
• Charles Clifton Marsh, PHARM.D.
• Cayce Marshall, OTD, OTR/L
• Claude L Martimbeau, MD
• Andrea Martin, MHP
• Dakota Martin, PT
• Isabella Martin
• Loren Martin
• Margaret Roxanne Martin
• Robin Martin

• Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.