Fatima Cheniidaan Martel, CAPA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

24 Great Plains Road
Arapaho, WY 82510

Phone

(307) 856-0470

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• White Buffalo Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Arapahoe, WY
  • NPI 1902213093
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1962079293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ST STEPHENS",
            "state": "WY",
            "postal_code": "825240190",
            "telephone_number": "307-856-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GREAT PLAINS ROAD",
            "city": "ARAPAHO",
            "state": "WY",
            "postal_code": "82510",
            "telephone_number": "307-856-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEL",
        "first_name": "FATIMA",
        "middle_name": "CHENIIDAAN",
        "credential": "CAPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fatima.martel@whitebuffalorecovery.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "24 Great Plains Road",
            "city": "Arapaho",
            "state": "WY",
            "country_code": "US",
            "postal_code": "82510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Dawn Haanpaa
• Mirae Hughes
• Marie Jenkins, BA SOCIOLOGY
• Joan M Kulow, PT
• Elizabeth Marshall, MD
• Mindy Rae Pomeroy, MT
• Wind River Family and Community Health Pharmacy
• With Eagles Wings

• All providers in Arapaho, WY
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.