KATHY MARTIN (NPI# 1063403418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063403418 |
| Entity Type | Individual |
| Full Name | KATHY MARTIN |
| Credential | M.S. |
| Practice Address |
315 S Pearl Ave Joplin MO 64801 |
| Mailing Address |
315 S Pearl Ave Joplin MO 64801-2538 |
| Practice Telephone | 4177816228 |
| Practice Fax Number | 4177816248 |
| Mailing Telephone | 4177816228 |
| Mailing Fax Number | 4177816248 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2004008789 | MO | Behavioral Health & Social Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2005035596 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2005035596 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 20048789 | 05 | |
| MO | 1003149261 | 05 | |
| KS | 244 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518406958 | Kathy Haley Martin | Durable Medical Equipment & Medical Supplies | 5 County Road 1053, Booneville, MS 38829-7726 | 2017-02-17 |
| 1003149261 | Kathy Joan Martin | Nurse Practitioner | 4186 East State Hwy 248, Reeds Spring, MO 65737 | 2009-09-04 |
| 1215978390 | Kathy Tyler Martin | Nurse Practitioner | 806 Saint Vincents Dr Ste 450, Birmingham, AL 35205-1684 | 2006-06-09 |
| 1083126577 | Kathy Martin | Case Manager/Care Coordinator | 128 Louisiana Ave, Ferriday, LA 71334-2826 | 2017-10-24 |
| 1174874077 | Kathy Martin | Social Worker | 204 Wall St, Suite A, Poteau, OK 74953-4400 | 2012-10-02 |
| 1477837151 | Kathy Mary Martin | Counselor | 950 N State St Ste A, Hemet, CA 92543-1485 | 2011-09-29 |
| 1134395171 | Kathy D Martin | Physical Therapy Assistant | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2008-04-30 |
| 1457470064 | Kathy Martin | Nurse Practitioner | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-03-28 |
| 1134251887 | Kathy Martin | Registered Nurse | 4025 W 226th St, Torrance, CA 90505-2340 | 2007-03-09 |
| 1043378524 | Kathy Martin | Licensed Practical Nurse | 120 Bellview Ave, Winchester, VA 22601-3142 | 2006-12-05 |
| Street Address |
315 S PEARL AVE |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881900058 | Kelly Marie Derganc | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| Find all providers with the same taxonomy | ||||
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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.