KATHLEEN MARTIN (NPI# 1518307487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518307487 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARTIN |
| Other Name | KATHLEEN GRAHAM |
| Credential | CNP |
| Practice Address |
3850 S National Ave Suite 600 Springfield MO 65807-5287 |
| Practice Telephone | 4178824880 |
| Practice Fax Number | 4178827843 |
| Mailing Telephone | 4178824880 |
| Mailing Fax Number | 4178827843 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2013019751 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013019751 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229290 | Kathleen Martin | Behavioral Analyst | 21 Oxford Rd, White Plains, NY 10605-3607 | 2017-04-12 |
| 1336507904 | Kathleen Martin | Registered Nurse | 401 E Palmer St, Mount Pleasant, MI 48858-1547 | 2016-02-10 |
| 1023252277 | Kathleen Elaine Martin | Counselor | 211 S Norton Ave, Norton, KS 67654-2137 | 2009-04-30 |
| 1326201633 | Kathleen O'connor Martin | Physical Therapist | 30 Trellis Gate St, The Woodlands, TX 77382-5104 | 2008-07-07 |
| 1811184393 | Kathleen Nolan Martin | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2007-09-28 |
| 1689707473 | Kathleen Logan Martin | Occupational Therapy Assistant | 2841 Trotters Ln, Midlothian, VA 23113-4834 | 2007-03-13 |
| 1073649224 | Kathleen Anne Martin | Speech-Language Pathologist | 2652 S Wallis Smith Blvd, Springfield, MO 65804-3864 | 2007-02-24 |
| 1609910215 | Kathleen M Martin | Dental Hygienist | 389 Congress St, Portland, ME 04101-3509 | 2007-02-16 |
| 1467559781 | Kathleen Elizabeth Martin | Social Worker | 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 | 2006-09-20 |
| 1356300024 | Kathleen Martin | Registered Nurse | 211 Nautilus Dr, Apt. #4, Madison, WI 53705-4358 | 2006-03-21 |
| Street Address |
3850 S NATIONAL AVE SUITE 600 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264971 | Michael A Albritton | Specialist | 3850 S National Ave, Ste 100, Springfield, MO 65807-5287 | 2005-06-13 |
| 1982245767 | Rebecca Lynn Smading | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2019-10-03 |
| 1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
| 1033652870 | Karrie Derenski | Pharmacist | 3850 S National Ave, Suite 200, Springfield, MO 65807-5287 | 2016-11-28 |
| 1124319439 | Christine A Czachowski | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-21 |
| 1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
| 1326345042 | Candise Elaine Jordan | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2011-02-15 |
| 1790098580 | Denise R Moore | Registered Nurse | 3850 S National Ave, 520, Springfield, MO 65807-5287 | 2010-07-21 |
| 1407174782 | Srikant Nannapaneni | Internal Medicine | 3850 S National Ave, Suite 520, Springfield, MO 65807-5287 | 2010-05-11 |
| 1063748929 | Physicians for Breast Health, L.L.C. | Radiology | 3850 S National Ave, Suite 300, Springfield, MO 65807-5287 | 2009-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1255951331 | Bryndi Raye Shirley | Nurse Practitioner | 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 | 2020-04-20 |
| 1750900379 | Gemma Nicole D'angelo | Nurse Practitioner | 996 Stoneybrook Dr, Springfield, PA 19064-3829 | 2020-04-14 |
| 1629607882 | Melanie Herrin | Nurse Practitioner | 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 | 2020-04-08 |
| 1871133520 | Deborah Ann Tully | Nurse Practitioner | 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 | 2020-01-10 |
| 1932759651 | Amanda Couchon | Nurse Practitioner | 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 | 2019-09-14 |
| 1760947410 | Andrea K Leger | Nurse Practitioner | 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 | 2019-02-07 |
| 1417421579 | Stephanie M Yeager | Nurse Practitioner | 3850 S National Ave Ste 700, Springfield, MO 65807-5292 | 2019-01-11 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.