Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Micah Deshaun Martin, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1073002960

Micah Deshaun Martin, AGNP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Dallas County Hospital District, a 598-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone: (214) 266-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP136599 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP136599 (TX)

Record details

NPI number1073002960
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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