Angela Jeanine Martin, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

2482181 Issued in MN

Practice address

201 McAndrews Rd W Apt 212
Burnsville, MN 55337-5772

Phone

(507) 316-4230

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1669062105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCANDREWS RD W APT 212",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375772",
            "telephone_number": "507-316-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCANDREWS RD W APT 212",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375772",
            "telephone_number": "507-316-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANGELA",
        "middle_name": "JEANINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "2482181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Markstrom, M.S. CFY-SLP
• Megan Lea Marlar
• Joanne Ruth Marsh, CNP
• Genesis Lynn Marshall
• Donna Louise Martin-Wallace, LPCC, LADC, ADCR-MN
• Jaime Ellen Kuper Martin, MA CCC-SLP
• Patrick J Martin
• Amy Martinez, PT
• Marty-McDonald Health Services, P.a. (Marty Chiropractic)
• Ikran Maruf

• General Practice Registered Nurse in Burnsville, MN
• Providers in Burnsville, MN by specialty
• General Practice Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.