Mary a Martin NP BC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

5002313 Issued in NC

Legal business name

MARY A MARTIN NP BC

Practice address

10430 Haddington Dr NW
Charlotte, NC 28269-6955

Phone

(704) 200-1122

Fax

(704) 464-1781

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Mary Ann Martin, NP

Title

Psychiatric Nurse Practitioner Owne

Phone

(704) 200-1122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1609313311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104195",
            "telephone_number": "704-200-1122",
            "fax_number": "704-464-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 HADDINGTON DR NW",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696955",
            "telephone_number": "704-200-1122",
            "fax_number": "704-464-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY A MARTIN NP BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER OWNE",
        "authorized_official_telephone_number": "704-200-1122",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "5002313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Starnes Martyak, MSN, NP-C
• Lori Ann Marullo, M.A.
• Nancy D. Marvin, MSN, RN, NP-C
• Paul Emmet Marvin, OD
• Amy C Marx, PT
• Mary H Harrell Psychologist, PLLC
• Mary Henderson Whittaker, PLLC
• Mary Lucas Lacey
• Mary'S Helping Hands
• Marye Assistance Group LLC

• Adult Mental Health Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.