DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. AMY STUTTS MARTIN N.P.

MEDICARE: MRS. AMY STUTTS MARTIN N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner24455SC
2363LA2100XAcute Care Nurse PractitionerAP119277TX
3363LA2100XAcute Care Nurse Practitioner0024186993VA
4363LA2100XAcute Care Nurse Practitioner091158-23NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01078366OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11962709105OTHERTXBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962709105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY STUTTS MARTIN N.P.
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5516
Fax Number :
Provider Business Practice Location Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 540-981-7000
Fax Number : 540-981-8429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2011
Last Update Date : 05/19/2026

Similar Medicare Providers

1598569154 — JACOB CHRISTOPHER GRONDIN MD
Practice Location Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
24014-1838
Practice Phone: 540-981-7000
Practice Fax:
1932786951 — NIKHIL NARENDRA SHAH M.D.
Practice Location Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
24014-1838
Practice Phone: 540-981-7000
Practice Fax: 540-853-0931
1265715361 — BOGDAN LAURENTIU VLADU MPA-C
Practice Location Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
24014-1838
Practice Phone: 540-981-7000
Practice Fax: 540-985-6920
1710305479 — HENRY DAVID WEIGLE M.D.
Practice Location Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
24014-1838
Practice Phone: 540-981-7000
Practice Fax: 540-985-6920
1124451679 — DR. PHYLLIS BROWN WHITEHEAD PHD, CNS, ACHPN
Practice Location Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
24014-1838
Practice Phone: 540-981-7000
Practice Fax: 540-985-5377
1033812722 — MR. YONGDEOK BRUCE SHIN DO
Practice Location Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
24014-1838
Practice Phone: 540-981-7000
Practice Fax: 540-853-0931

Directions to “ MRS. AMY STUTTS MARTIN N.P.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.