Maximino Martell, APRN, CCNS, RN, MSN

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

AP07268 Issued in LA

Practice address

80 Gardenia Dr
Covington, LA 70433-9194

Phone

(985) 871-5900

NPI assigned

Oct 5, 2011

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Male

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 LA

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

Master of Science - Nursing, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Medical Services Cov LLC

  • General Practice Physician
  • Covington, LA
  • NPI 1568743375
  Medicare reassignment NPD
• Integrated Medical Services Ham, LLC

  dba Aamc

  • General Practice Physician
  • Hammond, LA
  • NPI 1619242575
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• St Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  Medicare reassignment NPD
• St. Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network-Folsom

  • Family Medicine Physician
  • Folsom, LA
  • NPI 1275539363
  Medicare reassignment NPD
• St. Tammany Parish Hospital Service District No 1

  dba St. Tammany Parish Hospital

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner Lieselotte Tansey Breast Center

  • General Practice Physician
  • New Orleans, LA
  • NPI 1699958371
  NPD
• All American Nola, LLC

  • Chiropractor
  • New Orleans, LA
  • NPI 1518266477
  NPD (past)
• Curtis Health Services, LLC

  • Chiropractor
  • Hammond, LA
  • NPI 1164668182
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1598049785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54482",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544482",
            "telephone_number": "985-871-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDENIA DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339194",
            "telephone_number": "985-871-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "MAXIMINO",
        "credential": "APRN, CCNS, RN, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "LA",
            "license": "AP07268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330314",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon William Mares, D.O.
• Julianna Marie Maricelli
• Brooke Bourgeois Marinello
• Mark Siverd OD LLC
• Amy Pollard Marshall, P.T.A.
• Jeanine M Martin, DO
• Misty Danielle Martin, FNP
• Angie Martinez, CSFA
• Luis Benigno Martinez III
• Rebecca Lynn Martinez, M.D.

• Clinical Nurse Specialist in Covington, LA
• Providers in Covington, LA by specialty
• Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.