Individual provider Active NPI

Carolyn Emily Martin, APRN, FNP, ENP

  • Emergency Medicine Physician
  • Pearland, TX
National Provider Identifier
1295275238
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
AP133389 Issued in TX
Practice address
16100 South Fwy
Pearland, TX 77584-1895
Phone
(713) 413-6500
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 AP133389 TX
Emergency Medicine Physician 207P00000X AP133389 TX Primary

Addresses

Primary practice location

16100 South Fwy
Pearland, TX 77584-1895

Mailing address

16100 South Fwy
Pearland, TX 77584-1895
Phone (713) 413-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170407000148 TX Practitioner - Nurse Practitioner 5799061693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians

Practice addresses (Care Compare)

1227 Museum Square Dr
Sugar Land, TX 77479-4629
Phone (281) 265-8125

1505 E Winding Way Dr
Suite 112 Memorial Hermann Gohealth UC
Friendswood, TX 77546-5395
Phone (281) 993-3860

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 338-6565

1911 Taylor St
Suite E
Houston, TX 77007-3991
Phone (346) 327-8553

2168 Spring Stuebner Rd
Suite 270
Spring, TX 77389-5309
Phone (346) 478-1976

2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133389TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Jul 31, 2023 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

14201 E Sam Houston Pkwy N
Ste 100
Houston, TX 77044
Phone (281) 436-8854

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850

2555 Gulf Fwy S
#C1100
League City, TX 77573

2555 Gulf Fwy S
Ste C1100
League City, TX 77573
Phone (832) 932-9850

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

8780 Highway 6
Ste C1100
Missouri City, TX 77459

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1295275238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SOUTH FWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841895",
            "telephone_number": "713-413-6500",
            "fax_number": "512-692-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SOUTH FWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841895",
            "telephone_number": "713-413-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAROLYN",
        "middle_name": "EMILY",
        "credential": "APRN, FNP, ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133389",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "AP133389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.