Organization Active NPI

Rebecca D. Martin, Arnp, P.a.

  • Family Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1649611377
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REBECCA D. MARTIN, ARNP, P.A.
Practice address
10575 68TH Ave Ste A2
Seminole, FL 33772-6023
Phone
(727) 272-1844
Fax
(877) 422-2920
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Authorized official

Name
Rebecca Dawn Martin, MSN, ARNPNPI 1376632919
Title
Arnp/Owner
Phone
(727) 272-1844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10575 68TH Ave Ste A2
Seminole, FL 33772-6023

Mailing address

10575 68TH Ave Ste A2
Seminole, FL 33772-6023
Phone (727) 272-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140515001319 FL Part B Supplier - Clinic/Group Practice 0547483760 Receives reassigned benefits from 1 practitioner
Practice locations: Seminole, FL

National Provider Directory

National Provider Directory

Locations

13800 Park Blvd
Ste 207
Seminole, FL 33776
Phone (727) 272-1844

10575 68th Ave
Ste A2
Seminole, FL 33772
Phone (727) 272-1844

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1649611377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 68TH AVE STE A2",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726023",
            "telephone_number": "727-272-1844",
            "fax_number": "877-422-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10575 68TH AVE STE A2",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726023",
            "telephone_number": "727-272-1844",
            "fax_number": "877-422-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA D. MARTIN, ARNP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "727-272-1844",
        "authorized_official_credential": "MSN, ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.