Active NPI
Lakeshia Martin
- Private Vehicle
- Greensboro, NC
National Provider Identifier
1639886021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- JFC3609
- Practice address
- 4303 Wolf Run Dr
Greensboro, NC 27406-8094 - Phone
- (336) 862-3754
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | JFC3609 | NC | Primary |
Addresses
Primary practice location
4303 Wolf Run Dr
Greensboro, NC 27406-8094
Mailing address
203 E Main St Unit 1192
Jamestown, NC 27282-0166
Phone (336) 862-3754
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 |
|---|---|---|---|
| JFC3609 | NC | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1639886021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E MAIN ST UNIT 1192",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272820166",
"telephone_number": "336-862-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 WOLF RUN DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068094",
"telephone_number": "336-862-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LAKESHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "JFC3609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.