Individual provider Active NPI

Bridget Martin, ARNPC

  • General Practice Registered Nurse
  • Miami Beach, FL
National Provider Identifier
1407059629
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
ARNP9256853 Issued in FL
Practice address
300 71St St
Suite # 620
Miami Beach, FL 33141-3038
Phone
(305) 866-9951
Fax
(305) 614-3352
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X ARNP9256853 FL Primary

Addresses

Primary practice location

300 71St St
Suite # 620
Miami Beach, FL 33141-3038

Mailing address

2055 South Atlantic Avenue
Unit # 801
Daytona Beach, FL 32118
Phone (706) 346-1421

Other identifiers 1

IdentifierTypeStateIssuer
308973800MedicaidFL

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)
Enrolled

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1407059629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SOUTH ATLANTIC AVENUE",
            "address_2": "UNIT # 801",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32118",
            "telephone_number": "706-346-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 71ST ST",
            "address_2": "SUITE # 620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413038",
            "telephone_number": "305-866-9951",
            "fax_number": "305-614-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "ARNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "ARNP9256853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308973800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.