Individual provider Active NPI

Karen S Martin, RN, CRNI

  • Infusion Therapy Registered Nurse
  • Harrisburg, PA
National Provider Identifier
1700095536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
RN297588L Issued in PA
Practice address
491A Blue Eagle Ave
Harrisburg, PA 17112-2314
Phone
(717) 651-9996
Fax
(717) 651-9974
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X RN297588L PA Primary

Addresses

Primary practice location

491A Blue Eagle Ave
Harrisburg, PA 17112-2314

Mailing address

318 W Main St
Mechanicsburg, PA 17055-3201
Phone (717) 697-3785

Other identifiers 1

IdentifierTypeStateIssuer
RN297588LOtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN297588LPAMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700095536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553201",
            "telephone_number": "717-697-3785",
            "fax_number": "717-697-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491A BLUE EAGLE AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122314",
            "telephone_number": "717-651-9996",
            "fax_number": "717-651-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RN, CRNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "PA",
            "license": "RN297588L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN297588L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • 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.