Lisa Martin

Key facts

NPI

1538057237

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

4800 Cardinal Dr
Charleston, WV 25306-6342

Phone

(304) 590-8140

NPI assigned

Jun 24, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2025.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1538057237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 CARDINAL DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253066342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 CARDINAL DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253066342",
            "telephone_number": "304-590-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

• Julie Ann Martin
• Justina Martin
• Kayla Martin
• Kendall Bryant Martin
• Kendra Dawn Martin, D.D.S.
• Luke Weldon Martin, MD
• Michael Martin
• Morgan D Martin
• Paul Martin
• Rachel Diane Martin, MD

All providers in Charleston, WV · Home Health Aide in West Virginia