Active NPI
Toni M Marthaller-Andersen, ARNP
- Family Nurse Practitioner
- Greenbank, WA
National Provider Identifier
1679536916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30006304
- Practice address
- 3455 Old County Rd
Greenbank, WA 98253 - Phone
- (360) 222-3131
- Fax
- (360) 678-3783
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30006304 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN00079721 | WA |
Addresses
Primary practice location
3455 Old County Rd
Greenbank, WA 98253
Mailing address
PO Box 1086
Freeland, WA 98249-1086
Phone (360) 929-4584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8332215 | Medicaid | WA | |
| 1679536916 | Other | WA | NPI |
Other names 1
- Toni M Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00079721 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1679536916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1086",
"city": "FREELAND",
"state": "WA",
"postal_code": "982491086",
"telephone_number": "360-929-4584",
"fax_number": "360-678-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 OLD COUNTY RD",
"city": "GREENBANK",
"state": "WA",
"postal_code": "98253",
"telephone_number": "360-222-3131",
"fax_number": "360-678-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTHALLER-ANDERSEN",
"first_name": "TONI",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30006304",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "RN00079721",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8332215",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679536916",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "MARTIN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenbank, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.