Active NPI
Whitney Paige Martin, CRNP
- Family Nurse Practitioner
- Moulton, AL
National Provider Identifier
1851758635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-129456
- Practice address
- 10939 Al Highway 157
Moulton, AL 35650-1900 - Phone
- (256) 974-6550
- Fax
- (256) 974-6551
- NPI assigned
- Jan 25, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-129456 | AL | Primary |
Addresses
Primary practice location
10939 Al Highway 157
Moulton, AL 35650-1900
Mailing address
10939 Al Highway 157
Moulton, AL 35650-1900
Phone (256) 974-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194466 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1851758635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10939 AL HIGHWAY 157",
"city": "MOULTON",
"state": "AL",
"postal_code": "356501900",
"telephone_number": "256-974-6550",
"fax_number": "256-974-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10939 AL HIGHWAY 157",
"city": "MOULTON",
"state": "AL",
"postal_code": "356501900",
"telephone_number": "256-974-6550",
"fax_number": "256-974-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "WHITNEY",
"middle_name": "PAIGE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-129456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194466",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moulton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.