Shyniece Martin, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

289226 Issued in NC

Practice address

4524 Cottendale Dr
Durham, NC 27703-6242

Phone

(919) 417-1550

NPI assigned

Jan 8, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1801606397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 COTTENDALE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036242",
            "telephone_number": "919-417-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 COTTENDALE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036242",
            "telephone_number": "919-417-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHYNIECE",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "289226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinda Martin
• Michael Timothy Martin, LCSWA, CSAT-C
• Miranda A Martin, MS, LCMHCA
• Sara Martin, M.D., M.SC.
• Sarah Yttri Martin, ANP-C
• Stephaine Martin
• Wendy Martin, DDS
• Candace Martindale
• Martine Luntz
• Susan J Martinelli, RPH

• Registered Nurse in Durham, NC
• Providers in Durham, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.