Active NPI
Angelina Renae Martin, CPC
- Peer Specialist
- Seattle, WA
National Provider Identifier
1245718279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 60886011
- Practice address
- 1902 2ND Ave Ste 208
Seattle, WA 98101-1186 - Phone
- (206) 956-9507
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 60886011 | WA | Primary |
Addresses
Primary practice location
1902 2ND Ave Ste 208
Seattle, WA 98101-1186
Mailing address
1902 2ND Ave
Seattle, WA 98101-1155
Phone (206) 939-0722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60886011 | WA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1245718279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 2ND AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011155",
"telephone_number": "206-939-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 2ND AVE STE 208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011186",
"telephone_number": "206-956-9507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANGELINA",
"middle_name": "RENAE",
"credential": "CPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": "60886011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.