Anna Martin, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

85303 Issued in NE

Practice address

406 E Kimball St
Callaway, NE 68825-2639

Phone

(308) 836-2272

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1710531124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E KIMBALL ST",
            "city": "CALLAWAY",
            "state": "NE",
            "postal_code": "688252639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E KIMBALL ST",
            "city": "CALLAWAY",
            "state": "NE",
            "postal_code": "688252639",
            "telephone_number": "308-836-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NE",
            "license": "85303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Louise Hanson, RN
• Suzanne Lynne Jorgenson
• Emily Kaelin, PT
• Tessa J Keeney, PA-C
• Kenneth Leroy Loper, M.D.
• Bethany Jean Rheiner, PA-C
• Kristen Ann Rickertsen, APRN
• Timothy Aaron Rosfeld, PA-C
• Stanley Edward Schied, PA-C
• Ronald John Sheppard, MD

• Pediatric Registered Nurse in Callaway, NE
• Providers in Callaway, NE by specialty
• Pediatric Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.