Active NPI
Nicole Martin, APRN
- Acute Care Nurse Practitioner
- Miami, FL
National Provider Identifier
1336714815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11008378
- Practice address
- 3250 NE 1St Ave Apt 504
Miami, FL 33137-4088 - Phone
- (305) 340-9002
- NPI assigned
- May 26, 2021
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11008378 | FL | Primary |
Addresses
Primary practice location
3250 NE 1St Ave Apt 504
Miami, FL 33137-4088
Mailing address
1382 Gaynor CT
Deltona, FL 32725-5659
Phone (386) 956-5946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M635630845870 | Other | FL | DL NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nicole@arvivaesthetics.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008378 | FL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1336714815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 GAYNOR CT",
"city": "DELTONA",
"state": "FL",
"postal_code": "327255659",
"telephone_number": "386-956-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 NE 1ST AVE APT 504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331374088",
"telephone_number": "305-340-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11008378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL NUMBER",
"identifier": "M635630845870",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nicole@arvivaesthetics.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3250 NE 1st Ave Apt 504",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331374088",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.