CAROL ENNIS MARTIN (NPI# 1598804973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598804973 |
| Entity Type | Individual |
| Full Name | CAROL ENNIS MARTIN |
| Credential | APRN |
| Practice Address |
The Kentucky Clinic Wing D J252 740 S. Limestone Lexington KY 40536 |
| Mailing Address |
740 S. Limestone The Kentucky Clinic Wing D - J252 Lexington KY 40536-0284 |
| Practice Telephone | 8593232089 |
| Practice Fax Number | 8592187487 |
| Mailing Telephone | 8592180362 |
| Mailing Fax Number | 8592575013 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3002688 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78026887 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245696491 | Carol Anne Martin | Nurse Practitioner | 617 Cambridge St, Boston, MA 02134-2460 | 2016-01-04 |
| 1003289273 | Carol Martin | Dental Hygienist | 22 Laurie Ln, Lititz, PA 17543-8106 | 2015-11-09 |
| 1336447366 | Carol Joan Martin | Physical Therapist | 68 School Dr, Central Square, NY 13036-3514 | 2011-02-28 |
| 1083933816 | Carol Ann Martin | Behavioral Analyst | 3108 W Pinhook Rd Fl 2, Lafayette, LA 70508-3442 | 2010-05-18 |
| 1134347347 | Carol Reyburn Martin | Internal Medicine | 10017 Park Royal Dr, Great Falls, VA 22066-1847 | 2007-04-23 |
| 1215910344 | Carol Ann Martin | Psychiatry & Neurology | 1220 Se Maynard Rd, Ste 102, Cary, NC 27511 | 2005-11-22 |
| 1992150924 | Carol Elizabeth Martin | Psychologist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2016-04-27 |
| 1114258407 | Carol Lynn Martin | Occupational Therapy Assistant | 6011 Se Tower Dr, Stuart, FL 34997-7615 | 2010-01-26 |
| 1184868796 | Carol D Martin | Nurse Practitioner | 1265 Highway 54 W, Suite 409, Fayetteville, GA 30214-4548 | 2009-04-27 |
| 1144471251 | Carol Martin | Speech-Language Pathologist | 100 Pinecrest Dr, Pineville, LA 71360-4276 | 2008-10-07 |
| Street Address |
THE KENTUCKY CLINIC WING D J252 740 S. LIMESTONE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487190112 | Kendra D Grissom | Nurse Practitioner | 10777 Highway 412 W, Lexington, TN 38351-6283 | 2017-01-19 |
| 1386194447 | Morgan Chojnacki | Nurse Practitioner | Kentucky Clinic Pediatric High Bmi Clinic, 740 S. Limestone 2nd Floor Wing D, Lexington, KY 40536 | 2016-10-12 |
| 1811374887 | Hannah Lynn Puntney | Nurse Practitioner | 800 Rose St. Ms 235, Lexington, KY 40536 | 2015-04-29 |
| 1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
| 1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
| 1467789974 | Amanda Faith Dressman | Nurse Practitioner | 1780 Nicholasville Rd Ste 301, Lexington, KY 40503-1413 | 2009-11-05 |
| 1932378593 | Katherine Elaine Fletcher | Nurse Practitioner | 1135 Red Mile Pl, Lexington, KY 40504-1172 | 2008-02-27 |
| 1578602959 | Kate Mcalister Grap | Nurse Practitioner | 1113 Centre Pkwy, Lexington, KY 40517-3208 | 2007-02-05 |
| 1740350347 | Christina Knox Conley | Nurse Practitioner | 800 Rose St Ste C400, Lexington, KY 40536-1835 | 2006-11-09 |
| 1154374759 | Rhonda Kaye Hiler | Nurse Practitioner | 218 Mandalay Rd, Lexington, KY 40504-1333 | 2006-05-18 |
| Find all providers in LEXINGTON | ||||
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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.