MELISSA DIANE MARTIN NPI 1992161244

NPI Information

NPI: 1992161244
Provider Name: MELISSA DIANE MARTIN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
928 W COMMERCE ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 261-1250
Get Directions

Melissa Diane Martin is a psychiatric/mental health nurse practitioner in San Antonio, TX. Melissa Diane Martin NPI is 1992161244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

928 W COMMERCE ST
SAN ANTONIO, TX
ZIP 78207-444
Phone: (210) 261-1250

The NPI 1992161244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	TAP8335	ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP130804	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TAP8335	OTHER	ARIZONA	AZ STATE BOARD OF NURSING - TYPE: TEMPORARY ADVANCED PRACTITIONER -SPECIALTY:FNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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