MRS. KIMBERLY ANN MARTYN (NPI# 1538766837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538766837 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN MARTYN |
| Other Name | MS. KIMBERLY ANN RAFFAELE |
| Credential | MSN, FNP-BC |
| Practice Address |
168 W Baltimore Pike Media PA 19063 |
| Practice Telephone | 5707783295 |
| Mailing Telephone | 5707783295 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP022745 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
168 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| 1194270827 | Symone Miller | Social Worker | Whole Senior Care, LLC, 1251 Robin Hill Road, Media, PA 19063 | 2016-08-23 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1386252708 | Janet Dabagian | Nurse Practitioner | 13 Citation Ln, Media, PA 19063-5248 | 2020-07-22 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1710368238 | Christina Kosich | Nurse Practitioner | 5201 Pennell Rd Ste C, Media, PA 19063-6502 | 2015-06-10 |
| 1326205972 | Mobile Wound Consultants Inc | Nurse Practitioner | 1008 Second Ave, Media, PA 19063-1417 | 2008-05-21 |
| 1841899630 | Meghan Angelos Tokarski | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-10-22 |
| 1073155479 | Rebecca Lynn Mckenna | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-10-17 |
| 1487150959 | James E Cautillo | Nurse Practitioner | 1068 W Baltimore Pike Ste 202, Media, PA 19063 | 2018-04-03 |
| 1780048579 | Maria C Bucco Do PC | Nurse Practitioner | 1088 W Baltimore Pike, Suite #2104, Media, PA 19063-5146 | 2016-04-08 |
| 1265854574 | Sheila T Parrish | Nurse Practitioner | 1088 W Baltimore Pike, Suite 2500, Riddle Health Care Center II, Media, PA 19063-5146 | 2014-01-07 |
| Find all providers in MEDIA | ||||
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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.