Martha J Ethridge

Primary specialty

AmbulanceTaxonomy code 341600000X

License

88439 Issued in TX

Practice address

514 Deepgrove Dr
Houston, TX 77037-4012

Phone

(281) 380-1375

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ethridge Medical Services

  • Ambulance
  • Houston, TX
  • NPI 1801888599
  NPD (past) Authorized official
• Ethridge Medical Services

  • Land Ambulance
  • Houston, TX
  • NPI 1932215852
  NPD (past) Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1649465550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 DEEPGROVE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770374012",
            "telephone_number": "281-380-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 DEEPGROVE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770374012",
            "telephone_number": "281-380-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "MARTHA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "88439",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "88439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170939601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethos Wellness & Management LLC
• Yvette M Ethredge, NP
• Ethridge Group Inc
• Ethridge Medical Services
• Ethridge Medical Services
• Ernst Etienne, P.A.
• Ntahoturi Etienne
• Obehi Maranatha Etinfoh, APRN, PMHNP-BC
• Catherine Clare Etka, OTR/L
• Bernadette Etoama, PMHNP-BC

• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.