Theresa Anne Martin, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2007002928 Issued in MO

Practice address

1450 Dartmouth Dr
Saint Charles, MO 63303-3659

Phone

(636) 395-7073

Fax

(636) 395-7073

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1992024202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 DARTMOUTH DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033659",
            "telephone_number": "636-395-7073",
            "fax_number": "636-395-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DARTMOUTH DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033659",
            "telephone_number": "636-395-7073",
            "fax_number": "636-395-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007002928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dellice Martin, M.D.
• Eric Lee Martin, D.O.
• Lindsey Catherine Martin, APRN FNP-BC
• Sarah Mee Hyeon Martin
• Stanley B Martin, M.D.
• Marcimiliana Martinez
• Mia Martinez
• Roseann Martinez
• Amy Joy Marty, PH.D.
• Michelle Ann Mashinter, D.C.

• Registered Nurse in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.