ERICA NICOLE MARTIN
NPI 1174305007
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jackson, TN

Q: What is Erica Martin's NPI number?

The NPI number for Erica Martin is 1174305007. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Q: What is Erica Martin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Martin was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2023

364 N PARKWAY STE 8, JACKSON, TN 38305(731) 431-7241(731) 736-1111 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, Oct 16, 2023 (2 updates tracked since 2023).

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About Erica Nicole Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA NICOLE MARTIN (NPI 1174305007) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jackson, Tennessee, licensed in Tennessee (I000000022582) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1174305007

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameERICA NICOLE MARTIN

Location Address364 N PARKWAY STE 8Jackson, TN 38305-2874

Mailing Address364 N Parkway Ste 8Jackson, TN 38305-2874 · (731) 736-1005 · Fax (731) 736-1111

Phone(731) 431-7241

Fax(731) 736-1111

Sole ProprietorYes

Enumeration DateOctober 16, 2023

Last NPPES UpdateMay 6, 20242 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1174305007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in TN · I000000022582

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

364 N PARKWAY STE 8, Jackson, TN 38305

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Other Identifiers 1

MedicaidQ087092TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENTIY LIVING HOMECARE

In Home Supportive Care

364 N PARKWAY STE 8
JACKSON, TN 38305

Madison County (731) 736-1005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Martin's NPI number?

The NPI number for Erica Martin is 1174305007. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Erica Martin located?

Erica Martin practices at 364 N Parkway Ste 8, Jackson, TN 38305. The listed phone number is (731) 431-7241.

What is Erica Martin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Erica Martin was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.