Active NPI
Adrianna Elizabeth Martin, CPM, LM
- Midwife
- Ukiah, CA
National Provider Identifier
1386225837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 634
- Practice address
- 530 S Main St
Ukiah, CA 95482-4926 - Phone
- (707) 671-7476
- Fax
- (707) 671-7478
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 634 | CA | Primary |
Addresses
Primary practice location
530 S Main St
Ukiah, CA 95482-4926
Mailing address
547 N School St
Ukiah, CA 95482-3909
Phone (760) 495-2662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 634 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Waterbirth and Wellness Center | Past | Accepting new patients |
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.
-
- Birthing Clinic/Center
- Ukiah, CA
- NPI 1053783332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1386225837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 N SCHOOL ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823909",
"telephone_number": "760-495-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824926",
"telephone_number": "707-671-7476",
"fax_number": "707-671-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ADRIANNA",
"middle_name": "ELIZABETH",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "CA",
"license": "634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.