Melanie Martin, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP234901 Issued in AZ

Practice address

250 S Toole Ave Ste B
Tucson, AZ 85701-1814

Phone

(520) 323-1312

Fax

(520) 623-9964

NPI assigned

Nov 20, 2019

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melanie.martinnp.p1@direct.cbridges.nextgenshare.com

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.

• Codac Health Recovery and Wellness

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1033156567
  Medicare reassignment NPD
• Linda Wroten P.C.

  dba SW Geriatrics

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1851497952
  Medicare reassignment NPD
• Codac Health Recovery and Wellness

  dba CODAC at Speedway

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1649911157
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1518503945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S TOOLE AVE STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011814",
            "telephone_number": "520-323-1312",
            "fax_number": "520-623-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S TOOLE AVE STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011814",
            "telephone_number": "520-323-1312",
            "fax_number": "520-623-9964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "386 Stanley St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027206009",
            "country_code": "US",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN126556",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2339231",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2339231",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP234901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007900",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joan Martin, M.D.
• Karreen Martin
• Krista H Martin, W.H.N.P.
• Kristie Martin, LCSW
• Laura Ann Martin
• Patricia Diane Martin
• Pierre Martin, DDS
• Rachel Martin, LCSW
• Raquel Natalie Martin, ND
• Rose Martin, PHARM.D.

• Psychiatric/Mental Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.