Active NPI
Martha Fuhrman, RN
- Health Educator
- Jefferson City, MO
National Provider Identifier
1518324201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 075768
- Practice address
- 2505 Mission Dr
Diabetes Education
Jefferson City, MO 65109-9508 - Phone
- (573) 681-3163
- NPI assigned
- Jan 26, 2016
- Last updated
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 075768 | MO | Primary |
Addresses
Primary practice location
2505 Mission Dr
Diabetes Education
Jefferson City, MO 65109-9508
Mailing address
2505 Mission Dr
Diabetes Education
Jefferson City, MO 65109-9508
Phone (573) 681-3163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-0579850 | Other | MO | DEPT OF TREASURY INTERNAL REVENUE SERVICE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 075768 | MO | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1518324201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 MISSION DR",
"address_2": "DIABETES EDUCATION",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651099508",
"telephone_number": "573-681-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 MISSION DR",
"address_2": "DIABETES EDUCATION",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651099508",
"telephone_number": "573-681-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUHRMAN",
"first_name": "MARTHA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MO",
"license": "075768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF TREASURY INTERNAL REVENUE SERVICE",
"identifier": "44-0579850",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.