Active NPI
Donna Lynn Martin, RN
- Registered Nurse
- Hazel Park, MI
National Provider Identifier
1740538164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704272610
- Practice address
- 345 E Harry Ave
Hazel Park, MI 48030-2054 - Phone
- (586) 822-8969
- NPI assigned
- Aug 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704272610 | MI | Primary |
| Registered Respiratory Therapist | 227900000X | 4401002843 | MI |
Addresses
Primary practice location
345 E Harry Ave
Hazel Park, MI 48030-2054
Mailing address
345 E Harry Ave
Hazel Park, MI 48030-2054
Phone (586) 822-8969
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704272610 | MI | MD | Registered Nurse |
| 4401002843 | MI | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1740538164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E HARRY AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480302054",
"telephone_number": "586-822-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E HARRY AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480302054",
"telephone_number": "586-822-8969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DONNA",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704272610",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "MI",
"license": "4401002843",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.