Active NPI
Nicole Martin
- Case Manager/Care Coordinator
- Kingston, NY
National Provider Identifier
1477069557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 166 Albany Ave
Kingston, NY 12401-2530 - Phone
- (845) 331-7080
- NPI assigned
- Dec 27, 2017
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
166 Albany Ave
Kingston, NY 12401-2530
Mailing address
PO Box 3516
Kingston, NY 12402-3516
Phone (845) 331-7080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2017.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1477069557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3516",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124023516",
"telephone_number": "845-331-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 ALBANY AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124012530",
"telephone_number": "845-331-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.