KERRI MARTIN (NPI# 1285030981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126582 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | RAIL ROAD MEDICARE | P01572431 | 01 |
TX | TRICARE | 75-2616977-108 | 01 |
TX | 353321801 | 05 |
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 |
Street Address |
520 DOUGLAS BLVD |
City | TYLER |
State | TX |
Zip Code | 75702-8307 |
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 |
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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 Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
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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.