Carly Martin

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2309864 Issued in MA

Practice address

1029 Pleasant St
Bridgewater, MA 02324-2472

Phone

(508) 697-8116

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

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

State licenses

Interoperability endpoints

• Direct secure messaging: cmartin34182@direct.chppoc.masshiway.net

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1679238877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 1ST AVE UNIT 532",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021294412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242472",
            "telephone_number": "508-697-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 1st Ave Unit 532",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "MA",
            "postal_code": "021294412",
            "country_code": "US",
            "telephone_number": "508-965-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2309864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennie L Malone, DMD
• Nicole Elizabeth Manseau, CNP
• Mapletree Health
• Janice E. Maras
• Gaelle Marcellus
• Kayla Martin
• Lauren Martin
• Johnathon Martinez
• Victoria Masefield
• Mass Children Healthy Smiles

• Pediatric Nurse Practitioner in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.