Martha E Neavill

Primary specialty

Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X

License

2019075790 Issued in CA

Practice address

11301 Wilshire Blvd
Los Angeles, CA 90073

Phone

(310) 801-2528

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1255905600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD # 726",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112304",
            "telephone_number": "310-801-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90073",
            "telephone_number": "310-801-2528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18511 Highlander Medics St",
            "address_purpose": "LOCATION",
            "city": "Fort Bliss",
            "state": "TX",
            "postal_code": "799065327",
            "country_code": "US",
            "telephone_number": "915-742-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAVILL",
        "first_name": "MARTHA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2019075790",
            "primary": false
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "CA",
            "license": "2019075790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russanda Neal
• Stephen Joe Neal, PA-C
• Summer Neal
• Chanell Denise Nealon
• Caitlin Neapole, DDS
• Charles Nebo Jr.
• Kendrick James Nebo, MA
• Alyssa Necesito
• Nectar Redman Psy.D., a Psychological Corporation
• Celeste Nectoux

• Clinical Nurse Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.