Individual provider Active NPI

Sarah Lily Martin, ND

  • Naturopath
  • Corvallis, OR
National Provider Identifier
1457958563
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4348 Issued in OR
Practice address
650 SW 3Rd St
Corvallis, OR 97333-4437
Phone
(541) 745-9670
Fax
(503) 339-9585
NPI assigned
Oct 2, 2020
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4348 OR Primary

Addresses

Primary practice location

650 SW 3Rd St
Corvallis, OR 97333-4437

Mailing address

3320 NW Deer Run St
Corvallis, OR 97330-3181

Other practice location 1

20 Maple Leaf Farm Rd
Underhill, VT 05489-9358
Phone (609) 540-9458

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

LicenseStateTypeSpecialty
4348ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calla Natural Medicine, LLC Naturopath CurrentSince Dec 28, 2022 Accepting new patients
Deep Roots Family Medicine Naturopath PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1457958563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 NW DEER RUN ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334437",
            "telephone_number": "541-745-9670",
            "fax_number": "503-339-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Maple Leaf Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Underhill",
            "state": "VT",
            "postal_code": "054899358",
            "country_code": "US",
            "telephone_number": "609-540-9458",
            "fax_number": "888-556-0755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SARAH",
        "middle_name": "LILY",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.