Individual provider Active NPI

Catherine M Martin, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1851764054
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP111111 Issued in TX
Practice address
6300 Ridglea PL
Suite 201
Fort Worth, TX 76116-5704
Phone
(817) 451-4208
Fax
(817) 563-3699
NPI assigned
Nov 10, 2015
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP111111 TX Primary

Addresses

Primary practice location

6300 Ridglea PL
Suite 201
Fort Worth, TX 76116-5704

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 454-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160212001988 TX Practitioner - Nurse Practitioner 1850695727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4311 Wesley St
Greenville, TX 75401-5639
Phone (903) 455-5958

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP111111TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Urgent Care CurrentSince Jan 22, 2020 Accepting new patients
Community Health Service Agency, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Community Health Service Agency, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Community Health Service Agency, Inc. Past Accepting new patients

Locations

91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586

3206 Interstate Highway 30
Ste B
Greenville, TX 75402
Phone (903) 408-7979

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

4311 Wesley St
Greenville, TX 75401
Phone (903) 455-5958

810 E Ralph Hall Pkwy
Ste 100
Rockwall, TX 75032
Phone (469) 402-3400

Interoperability endpoints

  • Direct secure messaging: catherine.martin.p4@direct.chsa.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1851764054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-454-3025",
            "fax_number": "903-450-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RIDGLEA PL",
            "address_2": "SUITE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165704",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.