Active NPI
Johwanna Martin
- Registered Nurse
- Dayton, OH
National Provider Identifier
1518285337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.358015
- Practice address
- 2055 Ravenwood Ave
Dayton, OH 45406 - Phone
- (937) 674-7729
- NPI assigned
- May 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.358015 | OH | Primary |
Addresses
Primary practice location
2055 Ravenwood Ave
Dayton, OH 45406
Mailing address
2055 Ravenwood Ave
Dayton, OH 45406-2903
Phone (937) 674-7729
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.358015 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1518285337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 RAVENWOOD AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454062903",
"telephone_number": "937-674-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 RAVENWOOD AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "45406",
"telephone_number": "937-674-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOHWANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.358015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.