IndividualActive
Blake Martin
NPI 1972201432 · Student in an Organized Health Care Education/Training Program · Lebanon, NH
Provider details
- NPI number
- 1972201432
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone: (603) 650-5000
Approximate (ZIP-level) locationGet directions
Mailing address
875 S Donner Way Apt 209
Salt Lake City, UT 84108-2183
Additional practice locations (1)
- 27 S Mario Capecchi DrSalt Lake City, UT 84112-5888Phone: (208) 995-9797
Registry dates
- Enumerated
- 2023-02-23
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.