Active NPI
Michelle Martz, FNP
- Family Nurse Practitioner
- Cleveland, TN
National Provider Identifier
1366162067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 35599
- Practice address
- 1940 Westland Dr SW
Cleveland, TN 37311-8102 - Phone
- (914) 364-6857
- NPI assigned
- Sep 1, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 35599 | TN | Primary |
| Registered Nurse | 163W00000X | 275908 | TN | |
| Family Nurse Practitioner | 363LF0000X | APRN11021657 | FL |
Addresses
Primary practice location
1940 Westland Dr SW
Cleveland, TN 37311-8102
Mailing address
12607 Myrtle Ridge LN
Knoxville, TN 37932-2738
Other practice location 1
1 Veterans Way
Knoxville, TN 37931-3161
Phone (865) 862-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275908 | TN | MD | Registered Nurse |
| 35599 | TN | MD | Obstetrics & Gynecology Physician |
| APRN11021657 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1940 Westland Dr SW
Cleveland, TN 37311
Phone (423) 202-8132
1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530
Organizations & group practices 1
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": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1366162067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12607 MYRTLE RIDGE LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 WESTLAND DR SW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373118102",
"telephone_number": "914-364-6857"
}
],
"practiceLocations": [
{
"address_1": "1 Veterans Way",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379313161",
"country_code": "US",
"telephone_number": "865-862-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTZ",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "35599",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "275908",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11021657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.