Individual provider Active NPI

Yorbalica Martin-Thomas, NP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1831642388
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7137-33 Issued in WI
Practice address
3070 N 51St St
6TH Floor
Milwaukee, WI 53210-1645
Phone
(414) 445-6520
Fax
(414) 445-6875
NPI assigned
Aug 2, 2016
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 157394-30 WI
Family Nurse Practitioner 363LF0000X 7137-33 WI Primary

Addresses

Primary practice location

3070 N 51St St
6TH Floor
Milwaukee, WI 53210-1645

Mailing address

3070 North 51St Street
6TH Floor
Milwaukee, WI 53210
Phone (414) 445-6520

Other names 1

  • Yorbalica Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125000108 WI Practitioner - Nurse Practitioner 6002198140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
157394-30WIMDRegistered Nurse
7137-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jan 17, 2017 Accepting new patients
Wheaton Franciscan Medical Group Past Accepting new patients
Best Foot and Ankle Care LLC Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3070 N 51st St
Fl 6
Milwaukee, WI 53210
Phone (414) 445-6520

3070 N 51st St
Ste 601
Milwaukee, WI 53210
Phone (414) 302-5404

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1831642388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 NORTH 51ST STREET",
            "address_2": "6TH FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53210",
            "telephone_number": "414-445-6520",
            "fax_number": "414-445-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST",
            "address_2": "6TH FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-445-6520",
            "fax_number": "414-445-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-THOMAS",
        "first_name": "YORBALICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "157394-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7137-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YORBALICA",
            "last_name": "MARTIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.