Individual provider Active NPI

Marta L Staple, APNP, RN

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1871714691
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3413-33 Issued in WI
Practice address
345 W Washington Ave Ste 100
Madison, WI 53703-3050
Phone
(608) 417-8300
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 686376 CA
Women's Health Nurse Practitioner 363LW0102X 17019 CA
Women's Health Nurse Practitioner 363LW0102X 3413-33 WI
Nurse Practitioner 363L00000X 3413-33 WI Primary

Addresses

Primary practice location

345 W Washington Ave Ste 100
Madison, WI 53703-3050

Mailing address

202 S. Park St
Madison, WI 53715-1596
Phone (608) 417-6000

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
686376CAMDAmbulatory Women's Health Care Registered Nurse
3413-33WIMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1871714691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S. PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151596",
            "telephone_number": "608-417-6000",
            "fax_number": "608-417-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W WASHINGTON AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033050",
            "telephone_number": "608-417-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLE",
        "first_name": "MARTA",
        "middle_name": "L",
        "credential": "APNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "686376",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "17019",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "3413-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3413-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.