Individual provider Active NPI

Heather Martin

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1275567554
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000127 Issued in DE
Practice address
34444 King Street Row
Suite 4B
Lewes, DE 19958-4787
Phone
(302) 644-2773
NPI assigned
Jul 10, 2006
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG0000345 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000127 DE Primary

Addresses

Primary practice location

34444 King Street Row
Suite 4B
Lewes, DE 19958-4787

Mailing address

34444 King Street Row
Suite 4B
Lewes, DE 19958-4787
Phone (302) 644-2773

Other practice location 1

910 S Chapel St Ste 102
Newark, DE 19713-3468
Phone (302) 224-1400 ext. 614

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208000074 MD Practitioner - Nurse Practitioner 2062485279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Psychiatric CareGroup PAC ID 7315167707, 3 clinicians

Practice addresses (Care Compare)

2014 S Tollgate Rd
Suite 208
Bel Air, MD 21015-5904
Phone (410) 670-3076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L8-0000127DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Psychiatric Care CurrentSince Oct 1, 2022 Accepting new patients
American Psychiatric Care Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients

Locations

2014 S Tollgate Rd
Ste 208
Bel Air, MD 21015
Phone (410) 670-3076

14631 Route 29
Ste 110
Centreville, VA 20121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1275567554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34444 KING STREET ROW",
            "address_2": "SUITE 4B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34444 KING STREET ROW",
            "address_2": "SUITE 4B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-2773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S Chapel St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197133468",
            "country_code": "US",
            "telephone_number": "302-224-1400 x614",
            "fax_number": "302-224-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000345",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.