Active NPI
Alice Darlene Martin, RN
- Diabetes Educator Registered Nurse
- Niceville, FL
National Provider Identifier
1316185945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN9202038
- Practice address
- 729 Prestwick Dr
Niceville, FL 32578-3858 - Phone
- (850) 897-2545
- NPI assigned
- Feb 4, 2009
- Last updated
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN9202038 | FL | Primary |
Addresses
Primary practice location
729 Prestwick Dr
Niceville, FL 32578-3858
Mailing address
729 Prestwick Dr
Niceville, FL 32578-3858
Phone (850) 897-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9202038 | FL | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1316185945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 PRESTWICK DR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325783858",
"telephone_number": "850-897-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 PRESTWICK DR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325783858",
"telephone_number": "850-897-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALICE",
"middle_name": "DARLENE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "FL",
"license": "RN9202038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.