KERRI MARTIN


Address: 520 Douglas Blvd, Tyler, TX 75702-8307
Phone: 9035931721

KERRI MARTIN (NPI# 1285030981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285030981
Entity Type Individual
Full Name KERRI MARTIN
Credential FNP-C
Practice Address 520 Douglas Blvd
Tyler
TX 75702-8307
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Practice Telephone 9035931721
Mailing Telephone 9033246400
Enumeration Date 2014-11-07
Last Update Date 2016-06-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP126582 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX RAIL ROAD MEDICARE P01572431 01
TX TRICARE 75-2616977-108 01
TX 353321801 05

Other Providers KERRI MARTIN

NPI Name Taxonomy Address Enumeration
1346367257 Kerri Martin Pharmacist 325 W Apache Trl, Cvs/pharmacy, Apache Junction, AZ 85120-3954 2007-03-24
1821480393 Kerri Martin Counselor 3214 Winchester, Benton, AR 72015-2929 2015-02-20
1164502860 Kerri Jane Martin Occupational Therapist 13000 Bruce B Downs Blvd, Building 38-polytrauma 2nd Floor, Tampa, FL 33612-4745 2006-10-17

Office Location

Street Address 520 DOUGLAS BLVD
City TYLER
State TX
Zip Code 75702-8307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831197342 Jean Rene Yates-halbert Physician Assistant 520 Douglas Blvd, Tyler, TX 75702-8307 2005-07-08
1316555220 Sherry Mathew Pharmacist 520 Douglas Blvd, Tyler, TX 75702-8307 2020-07-16
1407487549 Rosie M Niebuhr Social Worker 520 Douglas Blvd, Tyler, TX 75702-8307 2020-01-28
1366899288 Jeta Laurie Bowman Nurse Practitioner 520 Douglas Blvd, Tyler, TX 75702 2016-05-20
1679944946 Laura Beth Sheets Nurse Practitioner 520 Douglas Blvd, Tyler, TX 75702-8307 2015-10-13
1134596554 Barakha Yadav Silvia Pharmacist 520 Douglas Blvd, Tyler, TX 75702-8307 2015-09-02
1184009565 Alyssa Laurich Pharmacist 520 Douglas Blvd, Tyler, TX 75702-8307 2015-07-27
1710395819 Maria Diaz Pharmacist 520 Douglas Blvd, Tyler, TX 75702-8307 2014-08-01
1487072120 Katie Storrs Physician Assistant 520 Douglas Blvd, Tyler, TX 75702-8307 2014-03-31
1255757175 Amia Taylor Social Worker 520 Douglas Blvd, Tyler, TX 75702-8307 2014-03-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
Find all providers in zip 75702

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891329728 Rachel E Fouse Nurse Practitioner 323 S Fannin Ave, Tyler, TX 75702-7321 2020-02-29
1942845243 Nicolette Jane Silverio Nurse Practitioner 6116 Wilshire Dr, Tyler, TX 75703-4160 2019-11-10
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1356996573 Katy Sutton Nurse Practitioner 1901 Belmont Dr, Tyler, TX 75701-4338 2019-08-05
1063067577 Elnora King Nurse Practitioner 1600 Rice Rd Apt 1117, Tyler, TX 75703-3308 2019-08-02
1851959472 Tx Np Health, Pllc Nurse Practitioner 21755 Syrah Ln, Tyler, TX 75703-9274 2019-05-29
1114482569 Carolyn Johnson Nurse Practitioner 13462 Hwy 110 N, Tyler, TX 75704-2444 2019-02-08
1720543556 Kelsey Danielle Sheeley Nurse Practitioner 6770 Old Jacksonville Hwy Ste 103, Tyler, TX 75703-0576 2019-02-06
1790257392 Tiffany Yvette Gardner Nurse Practitioner 301 Fm 757, Tyler, TX 75705-4503 2018-12-20
1174023352 Jonathan Brice King Nurse Practitioner 721 Clinic Dr # A, Tyler, TX 75701-2043 2018-02-14
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75702

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Dataset Information

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.

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