Individual provider Active NPI

Monica Martin, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1972191831
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010989 Issued in FL
Practice address
7458 Pine Forest Rd
Pensacola, FL 32526-8818
Phone
(850) 494-4600
Fax
(850) 941-0084
NPI assigned
Jan 6, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9371116 FL
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APRN11010989 FL
Family Nurse Practitioner 363LF0000X 11010989 FL Primary

Addresses

Primary practice location

7458 Pine Forest Rd
Pensacola, FL 32526-8818

Mailing address

7458 Pine Forest Rd
Pensacola, FL 32526-8818
Phone (850) 494-4600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203000432 FL Practitioner - Nurse Practitioner 6204240286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9371116FLMDFamily Medicine Physician
11010989FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_mmart620@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1972191831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7458 PINE FOREST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268818",
            "telephone_number": "850-494-4600",
            "fax_number": "850-941-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7458 PINE FOREST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268818",
            "telephone_number": "850-494-4600",
            "fax_number": "850-941-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9371116",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11010989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.