Andressa Oliveira Martins, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

102692173 Issued in SC

Practice address

935 One Landon Loop
Coastal Carolina University
Conway, SC 29526

Phone

(843) 349-2823

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1376806786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MYRTLE GREENS DR",
            "address_2": "APT E",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269016",
            "telephone_number": "843-349-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 ONE LANDON LOOP",
            "address_2": "COASTAL CAROLINA UNIVERSITY",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-349-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "ANDRESSA",
        "middle_name": "OLIVEIRA",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "102692173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Darrow Marchase, M.D.
• Mario S. Bangco, MD, PA
• Robert Michael Marrero Jr., CRNA
• Dorotheal C Marsh
• Susan Martinez, RN
• Michael J Maser, DMD
• Kelsie Massengill
• Jason Mathew, DO
• Stephaine Anne Mathis
• Brandon Matics, PT, DPT

• Athletic Trainer in Conway, SC
• Providers in Conway, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.