Andrew Noah Martin

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

290 Massie Rd
Charlottesville, VA 22903-1767

Phone

(434) 982-5100

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1396527404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FONTANELLE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281158311",
            "telephone_number": "704-773-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MASSIE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031767",
            "telephone_number": "434-982-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREW",
        "middle_name": "NOAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Jefferson House
• Martha Jefferson Medical Group LLC
• Martha Jefferson Medical Group LLC (Sentara Martha Jefferson Inpatient Services)
• Alyssa Martin
• Amy C. Martin, PA-C
• Ann Dabney Martin, NP
• Benjamin J Martin, M.D.
• Brenda Hatfield Martin, C.O.T.A/L
• Brenna Michelle Martin
• Charles Steven Martin II, B.A, QMHP

• Athletic Trainer in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.