Mary Ann Martin, MHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0050-02313 Issued in NC

Practice address

839 Majestic CT Ste 1
Gastonia, NC 28054-5152

Phone

(704) 867-6188

Fax

(704) 866-6070

NPI assigned

Dec 28, 2006

Sex

Female

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 NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• 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

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248566400000",
    "number": "1598821191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DUBBERLY CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050616",
            "telephone_number": "704-719-3664",
            "fax_number": "704-719-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545152",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "0050-02313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Martin, M.S. LPC
• Beverly S. Martin, PT
• Earl Clayton Martin Jr., LCSWA
• Hunter Alexandria Martin, BT
• Lachandra Renee Martin, LCSWA
• Michelle Martinez Colon, AGACNP
• Ana Martinez, RBT
• Guillermo Ezequiel Martinez
• Melanie Martinez
• Mary E Shafer DC PLLC

• Psychiatric/Mental Health Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; 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.