Active NPI
Christine Martin, RN
- Registered Nurse
- Yuma, AZ
National Provider Identifier
1366168452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R108412
- Practice address
- 3150South Avenue a Building C
Yuma, AZ 85364 - Phone
- (928) 502-6809
- Fax
- (928) 502-6825
- NPI assigned
- Oct 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R108412 | MD | Primary |
Addresses
Primary practice location
3150South Avenue a Building C
Yuma, AZ 85364
Mailing address
3150South Avenue a Building C
Yuma, AZ 85364
Phone (928) 502-6809
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 |
|---|---|---|---|
| R108412 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1366168452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150SOUTH AVENUE A BUILDING C",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-502-6809",
"fax_number": "928-502-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150SOUTH AVENUE A BUILDING C",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-502-6809",
"fax_number": "928-502-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R108412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.