Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carnetta Martin, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1396382040

Carnetta Martin, NURSEPRACTITIONER is a Nurse Practitioner in Suffield, Connecticut. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1 Canal Rd
Suffield, CT 06078-1921
Phone: (860) 668-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Hazard Ave Bldg C, Enfield, CT 06082-4575 — (860) 830-2350

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6890 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6890 (CT)

Record details

NPI number1396382040
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedDecember 2, 2019
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address1 Canal Rd, Suffield, CT 06078-1921

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Suffield