Stacy Angela Martin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CWCM-100201

Practice address

1009 Maitland Center Commons Blvd Ste 212
Maitland, FL 32751-7270

Phone

(321) 301-3597

NPI assigned

Jan 30, 2018

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

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1467950824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 TROTWOOD LN SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329083341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MAITLAND CENTER COMMONS BLVD STE 212",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517270",
            "telephone_number": "321-301-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACY",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "CWCM-100201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Marsh, MD
• Ruth Marshall, ARNP
• Amanda Martin, LMHC 19749
• Erin Shay Martin, MSW
• Sirbrenna Martin, PH. D.
• Carmen J. Martinez Martinez, M.D.
• Joaquin Martinez Jr., M.S.W.
• Leticia Josefina Martinez
• Michael A Martinez, MA, LMHC
• Virginia Carol Martinsen

• Case Manager/Care Coordinator in Maitland, FL
• Providers in Maitland, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.