Individual provider Active NPI

Wendie Silverman-Martin, RN

  • Registered Nurse
  • San Rafael, CA
National Provider Identifier
1801477153
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
404799 Issued in CA
Practice address
1500 Northgate Mall
San Rafael, CA 94903-3671
Phone
(415) 492-0888
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 404799 CA Primary

Addresses

Primary practice location

1500 Northgate Mall
San Rafael, CA 94903-3671

Mailing address

1300 Quarry Court
Apt. # 313
Point Richmond, CA 94801-4135
Phone (510) 847-1387

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

LicenseStateTypeSpecialty
404799CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Apr 25, 2021 Accepting new patients
Thrifty Payless Inc PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1801477153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 QUARRY COURT",
            "address_2": "APT. # 313",
            "city": "POINT RICHMOND",
            "state": "CA",
            "postal_code": "948014135",
            "telephone_number": "510-847-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NORTHGATE MALL",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033671",
            "telephone_number": "415-492-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN-MARTIN",
        "first_name": "WENDIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "404799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.