Sandra Martell, FNP-BC, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209001943 Issued in IL

Practice address

7556 Jackson Blvd
Forest Park, IL 60130-1854

Phone

(708) 836-8669

Fax

(708) 836-8638

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1659681963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 JACKSON BLVD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301854",
            "telephone_number": "708-836-8669",
            "fax_number": "708-836-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 JACKSON BLVD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301854",
            "telephone_number": "708-836-8669",
            "fax_number": "708-836-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "SANDRA",
        "credential": "FNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209001943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priti Khanna Mahajan, MD
• Bahir A Mansur, MD
• Susan G Marantz, M.D.
• Kaitlyn Louise Marro, M.A. CCC-SLP
• Amanda Lee Marsh, DPT
• Trinity Martin
• Sarah Martinez
• Mary Ann Bender DPM LTD
• Jocelyn Marcia Marzec, MAT
• Elizabeth Rose Mattax, LCPC

• Family Nurse Practitioner in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.