Latasha Martin, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704311802 Issued in MI

Practice address

14126 County Road 428
Newberry, MI 49868-7762

Phone

(906) 233-1322

Fax

(906) 233-1220

NPI assigned

Nov 20, 2015

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1366816852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14126 COUNTY ROAD 428",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498687762",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14126 COUNTY ROAD 428",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498687762",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LATASHA",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704311802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luce-Mackinac Health Department
• Luce-Mackinac Health Department
• M K Stores Inc (Snyder Drug #208)
• M.K. Stores, Inc (Newberry Hometown Pharmacy)
• Elizabeth Magyar, LLMSW
• Danette Lynn Martyn, NURSE PRACTITIONER
• Stephanie Jo Metzler, CMT, MMT-P
• Cathy Ann Murphy, L.P.C.
• Dale W Muth, O.D.
• Daniel Netherton, PA-C

• Registered Nurse in Newberry, MI
• Providers in Newberry, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.