Individual provider Active NPI

Bernadine Frances Martin, RN,C

  • Case Management Registered Nurse
  • Sterling, VA
National Provider Identifier
1518079201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
0001078571 Issued in VA
Practice address
21641 Ridgetop Cir
Suite 105
Sterling, VA 20166-6597
Phone
(571) 258-3026
Fax
(571) 258-3032
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 0001078571 VA Primary

Addresses

Primary practice location

21641 Ridgetop Cir
Suite 105
Sterling, VA 20166-6597

Mailing address

21813 Watson Rd
Leesburg, VA 20175-6508
Phone (703) 327-4570

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001078571VAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia Past Accepting new patients

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518079201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21813 WATSON RD",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201756508",
            "telephone_number": "703-327-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21641 RIDGETOP CIR",
            "address_2": "SUITE 105",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666597",
            "telephone_number": "571-258-3026",
            "fax_number": "571-258-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BERNADINE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "RN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001078571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.