Susan B Martin, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

28049 Issued in AK

Practice address

8030 Resurrection Dr
Anchorage, AK 99504-4731

Phone

(304) 216-3290

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1851856827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 RESURRECTION DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044731",
            "telephone_number": "304-216-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 RESURRECTION DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044731",
            "telephone_number": "304-216-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AK",
            "license": "28049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Martin
• Patricia Leneece Martin
• Ruth Martin
• Shawna Nicole Martin
• Sheryl Martin, L.P.A.
• Tim C Martin
• Tracy Elizabeth Martin, LPT
• Yunior Marcelino Martinez Solis
• Elizabeth Martinez-Augustin, D.O.
• Jerrill Martinez-Cuffee

• Diabetes Educator Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Diabetes Educator Registered Nurse in Alaska

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