Roberta Martin, R.N.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

RN502257L Issued in PA

Practice address

1000 S Mercer St
4TH Floor
New Castle, PA 16101-4672

Phone

(724) 658-4688

Fax

(724) 658-8810

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760500243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. MERCER STREET",
            "address_2": "4TH FLOOR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014572",
            "telephone_number": "724-658-4688",
            "fax_number": "724-658-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MERCER ST",
            "address_2": "4TH FLOOR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014672",
            "telephone_number": "724-658-4688",
            "fax_number": "724-658-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERTA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": "RN502257L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016551700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marra, M.A., CCC-SLP
• Melanie Rae Mars Sr., MAOTRL
• Alexandra Marshall, PHARMD
• Julie Martello, RD, LDN
• Deborah Lynn Martin, O.D.
• Mary Jane Bovo, MD, PC
• Mary Turner Skin Care and Clearskin Acne Clinic LLC
• Terry E Massie, D.M.D.
• Mastrangelos Eyeworks
• Vincent Mastrian, MOT, OTR/L

• Federally Qualified Health Center (FQHC) in New Castle, PA
• Providers in New Castle, PA by specialty
• Federally Qualified Health Center (FQHC) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.