Active NPI
Lisa Kay Martin, CNA
- Nurse's Aide
- Vero Beach, FL
National Provider Identifier
1427494376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA205750
- Practice address
- 8275 96TH Ave
Vero Beach, FL 32967-3848 - Phone
- (772) 321-7616
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA205750 | FL | Primary |
Addresses
Primary practice location
8275 96TH Ave
Vero Beach, FL 32967-3848
Mailing address
8275 96TH Ave
Vero Beach, FL 32967-3848
Phone (772) 321-7616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W1156 65679 | Other | FL | AETNA NAP KRAFT FOODS GRP 469670-27-103 |
| $$$$$$$$$ | Other | FL | SOCIAL SECURITY ACT MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA205750 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1427494376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8275 96TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329673848",
"telephone_number": "772-321-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8275 96TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329673848",
"telephone_number": "772-321-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LISA",
"middle_name": "KAY",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA205750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NAP KRAFT FOODS GRP 469670-27-103",
"identifier": "W1156 65679",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY ACT MEDICARE",
"identifier": "$$$$$$$$$",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
- Felix Martell-Hernandez, PTA
- Wilhelm K. Martezian, ARNP-C
- Daniel Martin
- Jeffrey Martin, DMD
- Joanna Marie Martin, M.S.
- Aquiles Salvador Martinez Hernandez, FNP-C
- Maria Lorena Martinez Rojas, MD
- Diana Carolina Martinez, B.S
- Vicente de Paulo Martins Coelho Junior, MD, PHD
- Philip James Martowski, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.