Haley Martin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140445 Issued in TX

Practice address

1048 Aledo Ridge CT
Fort Worth, TX 76108-3098

Phone

(817) 694-5232

Fax

(817) 441-9282

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pediatric Urgent Care PA

  dba Urgent Care for Kids

  • Urgent Care Clinic/Center
  • The Woodlands, TX
  • NPI 1598059776

  Single Specialty

  Medicare reassignment NPD
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  Single Specialty, TX

  Medicare reassignment NPD
• Granbury Family Med Clinic

  • Primary Care Clinic/Center
  • Granbury, TX
  • NPI 1396934147

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1568929552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 ALEDO RIDGE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761083098",
            "telephone_number": "817-694-5232",
            "fax_number": "817-441-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 ALEDO RIDGE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761083098",
            "telephone_number": "817-694-5232",
            "fax_number": "817-441-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP140445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366537482",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana M Martin, PT
• Davis Edward Martin, MD
• Delaney Jane Martin, DO
• Eddilisa Martin, PHARMD
• Ernest Martin
• Heather Martin
• Heather R Martin, RN
• James Martin, PHARMD
• Joanne Martin, C.R.N.P
• Joseph Candidu Martin, M.D.

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.