Active NPI
Anne T Martin, NP
- Acute Care Nurse Practitioner
- Carmel, IN
National Provider Identifier
1770731820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 71002731
- Practice address
- 11725 N Illinois St
Suite 465
Carmel, IN 46032-3010 - Phone
- (317) 817-0010
- Fax
- (317) 817-0012
- NPI assigned
- Sep 3, 2008
- Last updated
- Feb 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28139087A | IN | |
| Acute Care Nurse Practitioner | 363LA2100X | 71002731 | IN | Primary |
Addresses
Primary practice location
11725 N Illinois St
Suite 465
Carmel, IN 46032-3010
Mailing address
250 N Shadeland Ave
Ste 130 Provider Enrollment
Indianapolis, IN 46219-4959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201146210 | Medicaid | IN |
Other names 1
- Anne T Chesser
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28139087A | IN | MD | Registered Nurse |
| 71002731 | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory & Critical Care Consultants P C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1770731820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "STE 130 PROVIDER ENROLLMENT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11725 N ILLINOIS ST",
"address_2": "SUITE 465",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323010",
"telephone_number": "317-817-0010",
"fax_number": "317-817-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANNE",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28139087A",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71002731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201146210",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "CHESSER",
"middle_name": "T",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.