Stephene Martin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703085936 Issued in MI

Practice address

19194 Fleming St
Detroit, MI 48234-1313

Phone

(313) 595-4201

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1831650696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19194 FLEMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19194 FLEMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341313",
            "telephone_number": "313-595-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703085936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Anthony Martin
• Raymond C. Martin, MA LMSW
• Sachelle Martin, DO
• Salaya Marlynn Martin
• Silver Melody Martin, DO
• Steve Martin
• Theadore Alger Martin, CACM,CSOTS
• William Martin, M.D.
• Ysahai Honor-Marie Martin, MA, CCC-SLP
• Rebeca Martinez Archer, M.D.

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.