Active NPI
Susan Marie Martin
- Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1578053880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0004819-NP
- Practice address
- 2141 Academy Cir
Colorado Springs, CO 80909-1686 - Phone
- (888) 800-1853
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0004819-NP | CO | Primary |
Addresses
Primary practice location
2141 Academy Cir
Colorado Springs, CO 80909-1686
Mailing address
PO Box 2248
Monument, CO 80132-2248
Phone (719) 310-6944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0004819-NP | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1578053880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2248",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801322248",
"telephone_number": "719-310-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 ACADEMY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091686",
"telephone_number": "888-800-1853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SUSAN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0004819-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.