Elisabeth Ann Martin

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN122417 Issued in AZ

Practice address

17624 N 31St Ave
Phoenix, AZ 85053-1935

Phone

(602) 467-5910

Fax

(602) 467-5980

NPI assigned

Sep 4, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1528216462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17624 N 31ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531935",
            "telephone_number": "602-467-5910",
            "fax_number": "602-467-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17624 N 31ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531935",
            "telephone_number": "602-467-5910",
            "fax_number": "602-467-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN122417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Martin, LPC
• Connie I. Martin, CST
• Dale Jerome Martin Jr.
• Dean T Martin, MD
• Douglas Martin
• Erik Jeff Martin, MD
• Gary A Martin, PHD
• Giorgio Martin
• Herlynne Martin, OD
• Irene Martin

• School Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.