Madison Rae Martin, RN, MSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704322471 Issued in MI

Practice address

7124 Highland Rd
Waterford, MI 48327-1503

Phone

(248) 431-7245

NPI assigned

Apr 27, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1265014302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-431-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-431-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704322471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Matthew Marini, P.T.
• Mark Laszlo, DDS, PC
• Glen Joseph Marsack, D.D.S.
• Ronda Marshall, D.C.
• Martin Hart, M.D., P.C.
• Timothy Joseph Martin, LLPC
• Shannon Eileen Marttila, BS, CADCM, CCSM
• Marvin D. Siegel, M.D., P.C.
• Marvin S. Taylor DDS PC
• Mary Ann Harchick DDS PC

• Registered Nurse in Waterford, MI
• Providers in Waterford, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.