Active NPI
Lynn Y. Martin, RN, MS, CS, NP, PMH
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Orinda, CA
National Provider Identifier
1770722639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- CA 535612
- Practice address
- 61 Avenida de Orinda # 100
Orinda, CA 94563-2327 - Phone
- (925) 377-0410
- Fax
- (925) 377-1070
- NPI assigned
- Feb 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | CA 535612 | CA | Primary |
Addresses
Primary practice location
61 Avenida de Orinda # 100
Orinda, CA 94563-2327
Mailing address
61 Avenida de Orinda # 100
Orinda, CA 94563-2327
Phone (925) 377-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 27, 2024 through Mar 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA 535612 | CA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1770722639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 AVENIDA DE ORINDA # 100",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632327",
"telephone_number": "925-377-0410",
"fax_number": "925-377-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 AVENIDA DE ORINDA # 100",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632327",
"telephone_number": "925-377-0410",
"fax_number": "925-377-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LYNN",
"middle_name": "Y.",
"credential": "RN, MS, CS, NP, PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "CA 535612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.