Regina Martin, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1049935 Issued in AL

Practice address

522 E 11TH St
Suite 200
Anniston, AL 36207-4770

Phone

(256) 237-5302

Fax

(256) 237-5368

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmartin34517@direct.acumenmd.com

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.

• Nephrology and Hypertension Consultants, PC

  • Specialist
  • Anniston, AL
  • NPI 1447349949
  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1528153384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 11TH ST",
            "address_2": "SUITE 200",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074770",
            "telephone_number": "256-237-5302",
            "fax_number": "256-237-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E 11TH ST",
            "address_2": "SUITE 200",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074770",
            "telephone_number": "256-237-5302",
            "fax_number": "256-237-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REGINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1049935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891010422",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amie Marsh, O. D.
• Angela M Martin, MD
• Judson A Martin, CRNP
• Kelli B Martin, CRNP
• Meredith Stovall Martin, CRNP
• Patricia Rexine Mason, D.M.D.
• Reginald N. Mason, M.D.
• April Sue Masson
• Anita R Mathews
• Matrix Labs

• Nurse Practitioner in Anniston, AL
• Providers in Anniston, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.