Individual provider Active NPI

Elizabeth Lynette Martin, FNP-C

  • Family Nurse Practitioner
  • Krotz Springs, LA
National Provider Identifier
1861701948
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06088 Issued in LA
Practice address
216 Park Street
Krotz Springs, LA 70750
Phone
(337) 566-2762
Fax
(337) 566-2766
NPI assigned
Oct 6, 2010
Last updated
May 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN078570-AP06088 LA
Family Nurse Practitioner 363LF0000X AP06088 LA Primary

Addresses

Primary practice location

216 Park Street
Krotz Springs, LA 70750

Mailing address

PO Box 765
Krotz Springs, LA 70750-0765
Phone (337) 566-2762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140604000225 LA Practitioner - Nurse Practitioner 2961625348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Park St
Suite a
Krotz Springs, LA 70750
Phone (337) 566-2762

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN078570-AP06088LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greene Family Medicine, Apmc CurrentSince Apr 1, 2014 Accepting new patients
Greene Family Clinics LLC CurrentSince Oct 15, 2022 Accepting new patients

Locations

2967 S Union St
Opelousas, LA 70570
Phone (337) 566-2762

Interoperability endpoints

  • Direct secure messaging: elmartin@goefm-la.direct.office.nextgen.com
  • Direct secure messaging: emartin@goefm-la.direct.office.nextgen.com

Organizations & group practices 2

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 2

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1861701948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "KROTZ SPRINGS",
            "state": "LA",
            "postal_code": "707500765",
            "telephone_number": "337-566-2762",
            "fax_number": "337-566-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PARK STREET",
            "city": "KROTZ SPRINGS",
            "state": "LA",
            "postal_code": "70750",
            "telephone_number": "337-566-2762",
            "fax_number": "337-566-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN078570-AP06088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Krotz Springs, LA

Sources for this page

Verify at the official NPI Registry.