Desiree Martin, RN
Registered Nurse in Saint Petersburg, FL. Individual provider (NPI-1).
NPI number1164360830
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1164360830
- Entity type
- Individual (NPI-1)
- Name
- Desiree Martin
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN9222272 | FL | Yes |
Practice location
201 38th Ave NeSaint Petersburg, FL 33704-1515
Phone 727-365-1842
Mailing address
201 38th Ave NeSaint Petersburg, FL 33704-1515
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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