JOSEPH ROBERT MARTIN ACNP NPI 1356819312

NPI Information

  • NPI: 1356819312
  • Provider Name: JOSEPH ROBERT MARTIN, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2727 HEARNE AVE STE 301
    SHREVEPORT, LA
    ZIP 71103
  • Phone: (318) 631-6400

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NPI Details

Joseph Robert Martin, ACNP is an acute care nurse practitioner in Shreveport, LA with 7 years of experience. Joseph Robert Martin, ACNP NPI is 1356819312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2727 HEARNE AVE STE 301
SHREVEPORT, LA
ZIP 71103
Phone: (318) 631-6400
Fax: (318) 631-0300

The NPI 1356819312 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 11/7/2018 and was last updated on 7/8/2021.

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
1363LA2100XNurse PractitionerAcute CareAP10022LOUISIANAYes

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
12488597MEDICAIDLOUISIANA

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: 3/30/2025

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