AVERY JEA MARTIN (NPI# 1053967653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053967653 |
| Entity Type | Individual |
| Full Name | AVERY JEA MARTIN |
| Practice Address |
405 Violet Rd Crittenden KY 41030-8956 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8594281610 |
| Practice Fax Number | 8594283923 |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN.CNP.024869 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 3013651 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902967276 | Avery Neil Martin | Chiropractor | 22790 Buchanan Street, Mount Vernon, WA 98273 | 2006-12-12 |
| 1306476882 | Avery Martin | Specialist/Technologist | 8840 N Magnolia Ave Ste 220, Santee, CA 92071-4516 | 2020-01-23 |
| 1215085956 | Avery Nicholas Martin | Chiropractor | 22790 Buchanan Street, Mount Vernon, WA 98273 | 2007-01-08 |
| Street Address |
405 VIOLET RD |
| City | CRITTENDEN |
| State | KY |
| Zip Code | 41030-8956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952415788 | Oscar O Perez Jr. | Family Medicine | 405 Violet Rd, Crittenden, KY 41030-8956 | 2006-08-18 |
| 1891285938 | Healthpoint Family Care, Inc. | Clinic/Center | 405 Violet Rd, Crittenden, KY 41030-8956 | 2018-05-15 |
| 1902321730 | Leah Thompson | Nurse Practitioner | 405 Violet Rd, Crittenden, KY 41030-8956 | 2017-08-14 |
| 1063895522 | Nicole Abbot | Internal Medicine | 405 Violet Rd, Crittenden, KY 41030-8956 | 2015-07-02 |
| 1780063636 | Andrea Clair Gist | Family Medicine | 405 Violet Rd, Crittenden, KY 41030-8956 | 2015-05-26 |
| 1891197273 | Ryan Freibert | Neuromusculoskeletal Medicine & OMM | 405 Violet Rd, Crittenden, KY 41030-8956 | 2014-09-17 |
| 1356446447 | Phillip Lee Kiser | Family Medicine | 405 Violet Rd, Crittenden, KY 41030-8956 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278410 | Summt Medical Group, Inc | Clinic/Center | 405 Violet Road, Crittenden, KY 41030 | 2019-01-08 |
| 1730247248 | Foot Specialists of Greater Cincinnati | Podiatrist | 520 Violet Road, Crittenden Medical Office Bldg, Crittenden, KY 41030 | 2006-12-05 |
| 1952321713 | Grant Pharmacist Group Inc | Pharmacy | 105 Spears Lane, Crittenden, KY 41030 | 2006-07-21 |
| 1013276641 | Alisa-ann Christensen | Family Medicine | 520 Violet Rd, Crittenden, KY 41030 | 2012-05-16 |
| 1205059045 | Connie Kiser | Counselor | 520 Violet Road, Crittenden, KY 41030 | 2007-04-10 |
| 1518021641 | John Francis Lenihan II | Dentist | 520 Violet Road, Suite 3, Crittenden, KY 41030 | 2006-12-21 |
| 1427214253 | Grant Pharmacist Group Inc | Pharmacy | 700 Violet Rd, Crittenden, KY 41030-1101 | 2008-07-31 |
| 1356301626 | Steven Bertram Sterneberg | Family Medicine | 520 Violet Rd, Crittenden, KY 41030-7480 | 2006-03-23 |
| 1033382080 | St Luke Hospitals, Inc. | Nurse Practitioner | 520 Violet Rd, Crittenden, KY 41030-7480 | 2008-04-10 |
| 1548439581 | Christine Hearth | Counselor | 520 Violet Rd, Crittenden, KY 41030-7480 | 2008-02-25 |
| Find all providers in zip 41030 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321730 | Leah Thompson | Nurse Practitioner | 405 Violet Rd, Crittenden, KY 41030-8956 | 2017-08-14 |
| 1033382080 | St Luke Hospitals, Inc. | Nurse Practitioner | 520 Violet Rd, Crittenden, KY 41030-7480 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | CRITTENDEN |
| Zip Code | 41030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.