Amy Nazario Martin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-124897 Issued in AL

Practice address

15239 Al Highway 68 Ste B
Crossville, AL 35962-3481

Phone

(256) 925-0012

Fax

(256) 925-0016

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25773/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4

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.

• Primary Care Select LLC

  • Primary Care Clinic/Center
  • Montgomery, AL
  • NPI 1083375414

  AL

  Medicare reassignment NPD
• United Doctors Family Medical Center LLC

  • Internal Medicine Physician
  • Boaz, AL
  • NPI 1013313709

  AL

  Medicare reassignment NPD
• West Madison Urgent & Primary Care, LLC

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1558006767

  AL

  Medicare reassignment NPD
• Shelby Ridge Acquisition Corporation

  • Skilled Nursing Facility
  • Alabaster, AL
  • NPI 1710938998
  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1851069702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "359620396",
            "telephone_number": "256-925-0012",
            "fax_number": "256-925-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15239 AL HIGHWAY 68 STE B",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "359623481",
            "telephone_number": "256-925-0012",
            "fax_number": "256-925-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "NAZARIO",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124897",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-124897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Mercy Counseling, LLC
• Keesha Hudgins
• William J Hunt
• Kilpatrick Pharmacy Inc.
• Sandra Lemons
• Melissa Anderson Mayfield, CRNP
• Medical Asset Group, LLC
• April Dawn Moreland, CRNP
• North Bama Drip Co
• Brittany Elyse Patterson

• All providers in Crossville, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.

Verify at the official NPI Registry.