Active NPI
Gem Martin
- Nurse Practitioner
- Okeechobee, FL
National Provider Identifier
1689135329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11001143
- Practice address
- 1812 Hwy 441 N
Suite 210
Okeechobee, FL 34972-3101 - Phone
- (863) 467-2159
- NPI assigned
- Mar 26, 2019
- Last updated
- May 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11001143 | FL | Primary |
Addresses
Primary practice location
1812 Hwy 441 N
Suite 210
Okeechobee, FL 34972-3101
Mailing address
1812 Hwy 441 N
Suite 210
Okeechobee, FL 34972
Phone (863) 467-2159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200102002684 | FL | Practitioner - Nurse Practitioner | 4385078153 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- gemmartin@wmkmd.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1689135329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 HWY 441 N",
"address_2": "SUITE 210",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "34972",
"telephone_number": "863-467-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 HWY 441 N",
"address_2": "SUITE 210",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349723101",
"telephone_number": "863-467-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-05-15",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11001143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.