Charles Martin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001238417 Issued in VA

Practice address

8400 Lee Highway
Pulaski, VA 24301

Phone

(540) 994-8100

NPI assigned

Jan 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1376966689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 ALUM RIDGE RD NW",
            "city": "RINER",
            "state": "VA",
            "postal_code": "241493624",
            "telephone_number": "540-763-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 LEE HIGHWAY",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "24301",
            "telephone_number": "540-994-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHARLES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001238417",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "VA",
            "license": "0001238417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Franklin Knull, MD
• Adetokunbo A Ladenika, M.D
• Erin Lineberry, LPTA
• James M Lovelace, MD
• Leslie Dawn Marshall, FNP-BC
• Martins Pharmacy Inc
• Matthew S. Kaatz, M.D. P.C.
• Donald J Maute, RPH
• Medi Home Health Agency, Inc.
• Medi Home Health Agency, Inc.

• Registered Nurse in Pulaski, VA
• Providers in Pulaski, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.