Individual provider Active NPI

Latrice Diann Martin, DNP

  • Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1932439205
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112220 Issued in NE
Practice address
401 E Gold Coast Rd Ste 340
Papillion, NE 68046-4131
Phone
(402) 884-9059
Fax
(833) 875-0053
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A126762 IA
Family Nurse Practitioner 363LF0000X 112220 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G170270 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112220 NE
Advanced Practice Midwife 367A00000X 120042 NE
Advanced Practice Midwife 367A00000X B-126762 IA
Nurse Practitioner 363L00000X 112220 NE Primary

Addresses

Primary practice location

401 E Gold Coast Rd Ste 340
Papillion, NE 68046-4131

Mailing address

909 N Adams St Unit 460700
Papillion, NE 68046-3078

Other practice location 1

8020 O St
Lincoln, NE 68510-2561
Phone (402) 488-6370

Other practice location 2

1320 Galvin Rd S
Bellevue, NE 68005-3064
Phone (402) 292-6006

Other practice location 3

6829 N 72nd St Ste 4500
Omaha, NE 68122-1724
Phone (402) 572-3790

Other practice location 4

1111 N 13th St Ste 430
Omaha, NE 68102-4256
Phone (402) 884-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110307000634 NE Practitioner - Certified Nurse Midwife (CNM) 8426230848 Reassigns benefits to 3 organizations
I20220608001731 NE Practitioner - Nurse Practitioner 8426230848 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126762IAMDFamily Nurse Practitioner
112220NEMDFamily Nurse Practitioner
G170270IAMDPsychiatric/Mental Health Nurse Practitioner
B-126762IAMDAdvanced Practice Midwife
120042NEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Journey2Wellness, LLC Nurse Practitioner CurrentSince May 8, 2022 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Jan 1, 2021 Accepting new patients
Journey2Wellness, LLC Nurse Practitioner CurrentSince Jul 28, 2024 Accepting new patients
Bellevue Primary Healthcare PC CurrentSince Dec 3, 2018 Accepting new patients
Alegent Creighton Clinic CurrentSince Feb 1, 2021 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Eon Care Clinicians PC Nurse Practitioner PastSince Jan 4, 2026 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

1314 Galvin Rd S
Bellevue, NE 68005
Phone (720) 341-4162

1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839

8020 O St
Lincoln, NE 68510
Phone (402) 488-6370

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1111 N 13th St
Ste 430
Omaha, NE 68102
Phone (323) 590-0704

10685 Bedford Ave
Omaha, NE 68134
Phone (402) 898-4768

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

6829 N 72nd St
Ste 4500
Omaha, NE 68122
Phone (402) 572-3790

401 E Gold Coast Rd
Ste 340
Papillion, NE 68046
Phone (402) 884-9059

401 E Gold Coast Rd
Ste 325
Papillion, NE 68046
Phone (402) 592-1700

909 N Adams St
Unit 460700
Papillion, NE 68046

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26393/brand/1/csg/1/fhir/r4
  • Direct secure messaging: latrice.martin.1@26393.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1932439205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N ADAMS ST UNIT 460700",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E GOLD COAST RD STE 340",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464131",
            "telephone_number": "402-884-9059",
            "fax_number": "833-875-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 O St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102561",
            "country_code": "US",
            "telephone_number": "402-488-6370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Galvin Rd S",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "680053064",
            "country_code": "US",
            "telephone_number": "402-292-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6829 N 72nd St Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681221724",
            "country_code": "US",
            "telephone_number": "402-572-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 N 13th St Ste 430",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681024256",
            "country_code": "US",
            "telephone_number": "402-884-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LATRICE",
        "middle_name": "DIANN",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A126762",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112220",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G170270",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112220",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "120042",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B-126762",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.