Active NPI
Martha Edwards Hart, NP
- Pediatric Nurse Practitioner
- Deltaville, VA
National Provider Identifier
1881972107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024059480
- Practice address
- 16681 General Puller Hwy
Deltaville, VA 23043-2006 - Phone
- (804) 776-8000
- Fax
- (804) 776-6211
- NPI assigned
- Aug 3, 2011
- Last updated
- Mar 11, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 0024059480 | VA | |
| Pediatric Nurse Practitioner | 363LP0200X | 0024059480 | VA | Primary |
Addresses
Primary practice location
16681 General Puller Hwy
Deltaville, VA 23043-2006
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024059480 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Past | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
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.
-
dba Bruton Avenue Family Practice
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
-
dba Riverside Fishing Bay Family Practice
- Family Medicine Physician
- Deltaville, VA
- NPI 1053339762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1881972107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16681 GENERAL PULLER HWY",
"city": "DELTAVILLE",
"state": "VA",
"postal_code": "230432006",
"telephone_number": "804-776-8000",
"fax_number": "804-776-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "MARTHA",
"middle_name": "EDWARDS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "VA",
"license": "0024059480",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024059480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltaville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.