Jennifer Ellen Caroline Martin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20083004LPN Issued in OR

Practice address

6312 SW Capitol Hwy # 137
Portland, OR 97239-1938

Phone

(503) 201-1606

NPI assigned

Apr 11, 2008

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 names 1

• Miss Jennifer Ellen Caroline Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1275706103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SW CAPITAL HWY",
            "address_2": "137",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392880",
            "telephone_number": "503-201-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 SW CAPITOL HWY # 137",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391938",
            "telephone_number": "503-201-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "20083004LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARTIN",
            "middle_name": "ELLEN CAROLINE",
            "prefix": "MISS",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Herman Martin
• Ian Roth Martin
• James Isaac Martin, PA-C
• Jamie Candice Martin, M.A.
• Janet L. Martin, L.P.C.
• Jennifer Ellery Martin, CCC-A
• Jessica Martin, RN
• Julia May Martin, LMT
• Julie Marie Martin
• Kaley M Martin, PT

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.