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

Vivica Martin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013799824

Vivica Martin is a Student in an Organized Health Care Education/Training Program in Cordova, Tennessee. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

58 Timber Creek Dr
Cordova, TN 38018-4233
Phone: (901) 673-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1088 Rogers Rd, Cordova, TN 38018-8546 — (901) 755-1396

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013799824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESMay 24, 2025
Certification dateMay 24, 2025
Mailing address58 Timber Creek Dr, Cordova, TN 38018-4233

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