Linda Jean Martin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

261326 Issued in NY

Practice address

191 Orton Rd
Pulaski, NY 13142-2517

Phone

(315) 298-4958

NPI assigned

Oct 1, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1447447768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ORTON RD",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131422517",
            "telephone_number": "315-298-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ORTON RD",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131422517",
            "telephone_number": "315-298-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "261326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02160630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kwi Lee, DDS
• Richard J Leone, LCSW
• Robert Lepine
• Camilla J Lyndaker, RDH
• Katherine Nancy Lyndaker, PHARMD
• Thomas P McCue IV, DDS
• Jennifer L McGrew, RN
• Laura Lee Middleton, LPN
• Scott A Miller, MS PT
• Susan Denise Monnat, LPN

• Licensed Practical Nurse in Pulaski, NY
• Providers in Pulaski, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.