Active NPI
Alicia Leslie Martin, C-NPT, NNP-BC
- Neonatal Nurse Practitioner
- Springfield, MO
National Provider Identifier
1841579927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 2011027231
- Practice address
- 1235 E Cherokee St
Neonatal Intensive Care Unit
Springfield, MO 65804-2203 - Phone
- (417) 820-2891
- Fax
- (417) 820-7850
- NPI assigned
- Aug 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 2011027231 | MO | Primary |
Addresses
Primary practice location
1235 E Cherokee St
Neonatal Intensive Care Unit
Springfield, MO 65804-2203
Mailing address
1235 E Cherokee St
Neonatal Intensive Care Unit
Springfield, MO 65804-2203
Phone (417) 820-2891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011027231 | MO | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1841579927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"address_2": "NEONATAL INTENSIVE CARE UNIT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-2891",
"fax_number": "417-820-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"address_2": "NEONATAL INTENSIVE CARE UNIT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-2891",
"fax_number": "417-820-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALICIA",
"middle_name": "LESLIE",
"credential": "C-NPT, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MO",
"license": "2011027231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.