Michele Marie Martin, APRN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

Practice address

19326 Baron Rd
Mokena, IL 60448-9288

Phone

(708) 684-7045

Fax

(708) 684-7040

NPI assigned

Mar 12, 2008

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

State licenses

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1992976492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19326 BARON RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489288",
            "telephone_number": "708-684-7045",
            "fax_number": "708-684-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19326 BARON RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489288",
            "telephone_number": "708-684-7045",
            "fax_number": "708-684-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Marcus, MS CCC-SLP
• Marley Oaks Assisted Living Residence
• Marquette Eye and Vision Center, LLC
• Robert William Marquis, M.D.
• Laura Ann Martin, FNP
• Patricia Martin, M S CCC SLP L
• Tracey Leeann Martin, L.C.S.W.
• Kara Marie Martino, M.S.
• Erika Matteucci
• Drew McCarthy, MOT, OTR/L

• Clinical Nurse Specialist in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.