Nancy J Martin, C.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP04622 Issued in OH

Practice address

1069 Klotz Rd Ste a
Bowling Green, OH 43402-4832

Phone

(419) 728-0110

Fax

(419) 728-0113

NPI assigned

Mar 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bowling Green State University

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowling Green, OH
  • NPI 1366409690
  NPD (past)
• Bowling Green State University

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1699707687
  NPD (past)
• Jonathan F. Diller, M.D., Inc.

  • Family Medicine Physician
  • Fremont, OH
  • NPI 1184640658
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1770543019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024832",
            "telephone_number": "419-728-0110",
            "fax_number": "419-728-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024832",
            "telephone_number": "419-728-0110",
            "fax_number": "419-728-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP04622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Meyer Manley
• Natalia V Markelova, MD
• Delayna Martin
• Evan Keller Martin, PA-C
• Kevin A Martin, M.D.
• Alyssa Martinez-Baker, APRN-CNP
• Daniel Martinez
• Marissa Martinez
• Christopher Lee Marting, D.O.
• Evelyn Leigh Masters, BSW, LSW

• Nurse Practitioner in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.