Individual provider Active NPI

Martha Ann Pearson, ARNP

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Lexington, KY
National Provider Identifier
1962418491
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
3002520 Issued in KY
Practice address
1030 Monarch St
Suite 100
Lexington, KY 40513-1899
Phone
(859) 296-3141
Fax
(859) 296-3144
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 3002520 KY Primary

Addresses

Primary practice location

1030 Monarch St
Suite 100
Lexington, KY 40513-1899

Mailing address

1030 Monarch St
Suite 100
Lexington, KY 40513-1843
Phone (859) 296-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150505000505 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 7113927773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (609) 451-6600

425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2960
Phone (856) 374-6600

509 N Broad St
Inspira Medical Center
Woodbury, NJ 08096-1617
Phone (856) 845-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
3002520KYMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatric/Mental Health, Child & Adolescent CurrentSince Feb 1, 2015 Accepting new patients
Psychiatric Associates Past Accepting new patients
Psychological & Behavioral Consultants, LLC Past Accepting new patients
Beaumont Behavioral Health PSC Past Accepting new patients
Behavioral Health & Wellness Center PastSince Feb 1, 2012 Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

Interoperability endpoints

  • Direct secure messaging: martha.pearson.p1@direct.cfg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1962418491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131843",
            "telephone_number": "859-296-3141",
            "fax_number": "859-296-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131899",
            "telephone_number": "859-296-3141",
            "fax_number": "859-296-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "KY",
            "license": "3002520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.