Mary Kathleen Martin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP2230802 Issued in FL

Practice address

400 Health Park Blvd
St Augustine, FL 32086-5784

Phone

(904) 819-4478

NPI assigned

Feb 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Collier Anesthesia PA

  • Anesthesiology Physician
  • Naples, FL
  • NPI 1649251745
  NPD (past)
• Eye Surgery Center of Saint Augustine Inc

  • Ambulatory Surgical Clinic/Center
  • St Augustine, FL
  • NPI 1750383295
  NPD (past)
• Jennifer Sassi PA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1619305067

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Mark B Phillips M.D., P.a.

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1003997271
  NPD (past)
• Medical Anesthesia and Pain Management Consultants, P.a.

  • Anesthesiology Physician
  • Fort Myers, FL
  • NPI 1619966694
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669444956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 LAKES PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435858",
            "telephone_number": "904-819-4478",
            "fax_number": "904-819-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2230802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302528400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Marogil, DC
• Gabriela Eleonora Marquez, DDS
• Rommel Marson
• Alan J Martin
• Margaret E Martin, ARNP
• Pamela R Martin, D.M.D.
• Paul L. Martin Jr., PH.D.
• Tiffany Martin, LM, CPM
• Van Martin III
• Victoria Martin

• Certified Registered Nurse Anesthetist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.