MRS. AMY STUTTS MARTIN APRN NPI 1962709105

NPI Information

NPI: 1962709105
Provider Name: MRS. AMY STUTTS MARTIN, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
200 FLEETWOOD DR
EASLEY, SC
ZIP 29640
Phone: (864) 442-7200
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MRS. Amy Stutts Martin, APRN is an acute care nurse practitioner in Easley, SC with 15 years of experience. MRS. Amy Stutts Martin, APRN NPI is 1962709105. 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:

200 FLEETWOOD DR
EASLEY, SC
ZIP 29640-022
Phone: (864) 442-7200
Fax: (864) 442-8279

The NPI 1962709105 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 2/24/2011 and was last updated on 6/8/2023.

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	363LA2100X	Nurse Practitioner	Acute Care	655775	TEXAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	091158-23	NEW HAMPSHIRE	No
3	363LA2100X	Nurse Practitioner	Acute Care	24455	SOUTH CAROLINA	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	P01078366	OTHER	TEXAS	RR MEDICARE
2	281650602	MEDICAID	TEXAS
3	NP7298	MEDICAID	SOUTH CAROLINA
4	1962709105	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
5	281650601	MEDICAID	TEXAS

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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