Connie Sue Marten, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.009826 Issued in IL

Practice address

215 W Belleville St
Nashville, IL 62263-1448

Phone

(618) 316-9423

NPI assigned

Nov 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1447594999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BELLEVILLE ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631448",
            "telephone_number": "618-316-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BELLEVILLE ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631448",
            "telephone_number": "618-316-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEN",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012031563",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.314231",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012033369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Lemanski, COTA
• Dawn Renee Lietz, MS, CCC-SLP
• Hannah Marie Linville, SSP
• Marion Eye Centers LTD.
• Sara Dawn Markham, PTA
• Donald D May, RPH
• Crystal Renee Meade
• Michael E Gewe OD PC
• Midwest Acute Care Consultants PC
• Msa Alliance, LLC (Southern Illinois Vascular and Vein Surgery)

• Family Nurse Practitioner in Nashville, IL
• Providers in Nashville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.