Active NPI
Mary Anne Martin, NP
- Psychiatric/Mental Health Nurse Practitioner
- Schenectady, NY
National Provider Identifier
1962489658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 400240
- Practice address
- 216 Lafayette St
Schenectady, NY 12305-2408 - Phone
- (518) 243-3300
- Fax
- (518) 377-9151
- NPI assigned
- Dec 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400240 | NY | Primary |
Addresses
Primary practice location
216 Lafayette St
Schenectady, NY 12305-2408
Mailing address
1462 Erie Blvd
Suite 2
Schenectady, NY 12305-1026
Phone (518) 243-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4129368 | Other | NY | MVP |
| 000408304001 | Other | NY | BLUE CROSS |
| 11488383 | Other | NY | CAQH |
| 050322000010 | Other | NY | FIDELIS |
Other names 1
- Mary Anne Martin Barry
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1962489658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 ERIE BLVD",
"address_2": "SUITE 2",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051026",
"telephone_number": "518-243-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 LAFAYETTE ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123052408",
"telephone_number": "518-243-3300",
"fax_number": "518-377-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARY ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "400240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4129368",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000408304001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11488383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050322000010",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ANNE",
"last_name": "MARTIN BARRY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.