Shunte Ernlynn Martin

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 234485 Issued in CA

Practice address

47915 Oasis St
Indio, CA 92201-6950

Phone

(760) 863-8600

NPI assigned

Feb 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shunte Ernlynn Johnson Former name

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": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1407248495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81066 MILES AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012820",
            "telephone_number": "760-979-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47915 OASIS ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016950",
            "telephone_number": "760-863-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHUNTE",
        "middle_name": "ERNLYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 234485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUNTE",
            "last_name": "JOHNSON",
            "middle_name": "ERNLYNN",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marquez
• Michael Anthony Marquez, CADAC II
• Martha'S Village & Kitchen
• Martha'S Village and Kitchen
• Brooke Martin
• Arlen Martinez-Garcia
• Anthony Martinez
• Antonio Martinez Martinez Jr.
• Caridad Riane Martinez
• Carmen Martinez

• Licensed Vocational Nurse in Indio, CA
• Providers in Indio, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.