Active NPI
Christianna Martin, NP
- Neonatal Nurse Practitioner
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APRN11031961
- Practice address
- 1500 SW 1St Ave
Ocala, FL 34471-6504 - Phone
- (407) 303-2528
- NPI assigned
- May 4, 2006
- 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 | 4411 | CO | |
| Neonatal Nurse Practitioner | 363LN0000X | APRN11031961 | FL | Primary |
Addresses
Primary practice location
1500 SW 1St Ave
Ocala, FL 34471-6504
Mailing address
1500 SW 1St Ave
Ocala, FL 34471-6504
Phone (407) 303-2528
Other practice location 1
345 Maxwell Ave
Boulder, CO 80304-3972
Phone (303) 544-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58620010 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11031961 | FL | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
Interoperability endpoints
- cmartin3776714@adventhealth.direct-ci.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 and National Provider Directory roles.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Nurse Practitioner
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Community Medical Associates of BCH
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
-
dba Community Medical Associates of BCH
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1932157922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "407-303-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "407-303-2528"
}
],
"practiceLocations": [
{
"address_1": "345 Maxwell Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803043972",
"country_code": "US",
"telephone_number": "303-544-5777",
"fax_number": "303-544-5775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTIANNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "4411",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "APRN11031961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58620010",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.