Monteal Martin

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NVPY0416 Issued in NV

Practice address

5546 Camino Al Norte
2-333
North Las Vegas, NV 89031-0805

Phone

(702) 910-3230

NPI assigned

Jan 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eternity'S Path

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1609212182
  NPD (past)
• Gooden Foundation Inc.

  • Voluntary or Charitable Agency
  • Las Vegas, NV
  • NPI 1457721615
  NPD (past)

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1306269634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 N MICHAEL WAY",
            "address_2": "UNIT C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084101",
            "telephone_number": "702-542-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 CAMINO AL NORTE",
            "address_2": "2-333",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310805",
            "telephone_number": "702-910-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MONTEAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NVPY0416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20131272827",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasonia Clarnetta Martin
• Jeffrey Martin
• John Martin, MD
• Kristy Lee Martin, LCSW
• Letari Martin
• Myunghee Martin
• Sharon Lorraye Martin, CAREGIVER
• Stephanie Martin
• Tina Langeraap Martin, P.A.
• Vanessa Rachel Martin, DPT

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.