Cynthia Lou Martin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2475631 Issued in NY

Practice address

238 Upham Rd
Georgetown, NY 13072-3179

Phone

(315) 837-4356

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2009.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1982933677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 UPHAM RD",
            "city": "GEORGETOWN",
            "state": "NY",
            "postal_code": "130723179",
            "telephone_number": "315-837-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 UPHAM RD",
            "city": "GEORGETOWN",
            "state": "NY",
            "postal_code": "130723179",
            "telephone_number": "315-837-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CYNTHIA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2475631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Ann Coye, LPN
• Taylor Duell, PHARM.D
• Stacie Elaine Morse, R.N.
• Laura Lee Olin
• Serenity Care Facilities LLC
• Town of Georgetown

• All providers in Georgetown, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.