Active NPI
Hannah Jean Martin, APRN
- Pediatric Nurse Practitioner
- Chicago, IL
National Provider Identifier
1497347850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2.9.029781
- Practice address
- 225 E Chicago Ave
Chicago, IL 60611-2991 - Phone
- (800) 543-7362
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 12098891 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | 2.9.029781 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
808 S Cuyler Ave
Oak Park, IL 60304-1508
Phone (937) 561-4132
Other practice location 1
2200 Childrens Way
Nashville, TN 37232-0005
Phone (937) 561-4132
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12098891 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Childrens Surgical Foundation Inc | Past | Accepting new patients | |
| Lurie Children'S Medical Group Inc | Past | Accepting new patients | |
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
-
- Pediatric Surgery Physician
- Chicago, IL
- NPI 1356822050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719619200000",
"number": "1497347850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S CUYLER AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041508",
"telephone_number": "937-561-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "800-543-7362"
}
],
"practiceLocations": [
{
"address_1": "2200 Childrens Way",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320005",
"country_code": "US",
"telephone_number": "937-561-4132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "HANNAH",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2024-06-29",
"certification_date": "2024-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "12098891",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "2.9.029781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.