Individual provider · Type 1 NPI
Tabetha Martin, RN
Home Health Registered Nurse · Valley Center, CA
NPI number
1780504613
Active
Practice location
12618 Sierra Rojo Rd
Valley Center, CA 92082-5719
Mailing address
PO Box 1922
Valley Center, CA 92082-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95208086 (CA) |
| Case Management Registered Nurse | 163WC0400X | 95208086 (CA) |
| Community Health Registered Nurse | 163WC1500X | 558692 (CA) |
| Home Health Registered Nurse Primary | 163WH0200X | 95208086 (CA) |
Home Health Registered Nurse: Definition to come...
About NPI 1780504613
Tabetha Martin, RN's National Provider Identifier is 1780504613, issued on Jul 20, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Valley Center, CA. The record was last updated on Jul 20, 2026.