Active NPI
Mary Alice MC Fad Martinie, R.N. F.A.
- Orthopedic Registered Nurse
- Ft Myers, FL
National Provider Identifier
1598736688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- RN1536802
- Practice address
- 12670 Creekside Lane
Ste 202
Ft Myers, FL 33919-8759 - Phone
- (239) 482-2663
- Fax
- (239) 482-3106
- NPI assigned
- Jan 28, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | RN1536802 | FL | Primary |
Addresses
Primary practice location
12670 Creekside Lane
Ste 202
Ft Myers, FL 33919-8759
Mailing address
12670 Creekside Lane
Ste 202
Ft Myers, FL 33919-8759
Phone (239) 482-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1598736688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12670 CREEKSIDE LANE",
"address_2": "STE 202",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339198759",
"telephone_number": "239-482-2663",
"fax_number": "239-482-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12670 CREEKSIDE LANE",
"address_2": "STE 202",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339198759",
"telephone_number": "239-482-2663",
"fax_number": "239-482-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINIE",
"first_name": "MARY",
"middle_name": "ALICE MC FAD",
"credential": "R.N. F.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-28",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "FL",
"license": "RN1536802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.