Bonnie Martin, FNP

ActiveIndividual ProviderNurse Practitioner
NPI issued: June 30, 2005

Quick Facts

NPI Number
1174520480
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(209) 476-3928
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1174520480)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 30, 2005)
Data source: CMS NPPES

Provider Overview

BONNIE MARTIN, FNP is a Nurse Practitioner provider based in Stockton, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1174520480
Provider TypeIndividual Provider
GenderFemale
CredentialFNP
StatusActive
Enumeration DateJune 30, 2005

Practice Location

CityStockton
StateCA
ZIP Code95210-3377
Phone(209) 476-3928

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateCA

Mailing Address

CityStockton
StateCA
ZIP Code95210-3377
Phone(209) 476-3928
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1174520480 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1174520480for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1174520480 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
📊
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People Also Ask

What is Bonnie Martin's NPI number?
Bonnie Martin's NPI number is 1174520480, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bonnie Martin's NPI currently active?
Yes, Bonnie Martin's NPI status is Active as of the latest CMS NPPES database updates.
What does Bonnie Martin specialize in?
Bonnie Martin specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Bonnie Martin practice?
Bonnie Martin practices in Stockton, CA 95210-3377.
When was Bonnie Martin's NPI issued?
Bonnie Martin's NPI was issued on June 30, 2005.
What is Bonnie Martin's provider type?
Bonnie Martin is registered as an Individual Provider under CMS NPI Type 1.