Laquinta Martin

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Practice address

930 Brookdale St
Martinsville, VA 24112-3105

Phone

(276) 732-4852

Fax

(276) 632-9456

NPI assigned

Nov 20, 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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1497224448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3324",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241153324",
            "telephone_number": "276-732-4852",
            "fax_number": "276-632-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BROOKDALE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123105",
            "telephone_number": "276-732-4852",
            "fax_number": "276-632-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAQUINTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark T Mahoney DO PC
• Mark Thomas Mahoney, D.O., P.C.
• Celeisha Martin, FNP-C
• Jennifer L Martin
• Julie G. Martin, P.T.
• Lasandra Martin
• Marci Gaye Martin, LPTA
• Marckisha Martin, LPC
• Martinsville Anesthesia, PC
• Martinsville Cardiovascular Center, P.C

• All providers in Martinsville, VA
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.