KATHRYN ELIZABETH MARTIN (NPI# 1649744244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649744244 |
Entity Type | Individual |
Full Name | KATHRYN ELIZABETH MARTIN |
Credential | NP |
Practice Address |
3300 W Sunset Ave Springdale AR 72762-4950 |
Practice Telephone | 4797177089 |
Mailing Telephone | 4797177089 |
Enumeration Date | 2019-01-16 |
Last Update Date | 2020-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R101711 | AR | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A006071 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 232364758 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801407788 | Kathryn Martin | Occupational Therapist | 769 N 27th St, Philadelphia, PA 19130-2412 | 2020-08-13 |
1922519057 | Kathryn E Martin | Counselor | 2206 Branch Rd, Champaign, IL 61821-6257 | 2017-10-16 |
1174997944 | Kathryn Martin | Speech-Language Pathologist | 625 Wham Dr Rm 141, Carbondale, IL 62901-4313 | 2015-11-17 |
1982073169 | Kathryn Martin | Physician Assistant | 640 Blossom Hill Rd Ste A, Los Gatos, CA 95032-4564 | 2015-09-17 |
1164802005 | Kathryn Farley Martin | Pharmacist | 3313 Essex Dr, Suite 200, Richardson, TX 75082 | 2015-06-05 |
1932522992 | Kathryn Martin | Specialist/Technologist | 3545 Carver School Rd, Winston Salem, NC 27105-4033 | 2014-01-28 |
1417167297 | Kathryn Ann Martin | Licensed Vocational Nurse | 400 Mission Ranch Blvd Apt 158, Chico, CA 95926-5136 | 2007-05-23 |
1760531271 | Kathryn Louise Martin | Counselor | 827 W Front St, Traverse City, MI 49684-2465 | 2007-01-10 |
1003923723 | Kathryn M. Martin | Dietetic Technician, Registered | 92 Geneva St, Bath, NY 14810-9503 | 2006-08-25 |
1053301218 | Kathryn A Martin | Internal Medicine | 55 Fruit Street Bhx 511, Reproductive Endocrine Unit, Boston, MA 02114-2696 | 2005-10-27 |
Street Address |
3300 W SUNSET AVE |
City | SPRINGDALE |
State | AR |
Zip Code | 72762-4950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144836909 | Kasilynn Alese Shaddy | Nurse Practitioner | 3300 W Sunset Ave, Springdale, AR 72762-4950 | 2020-09-17 |
1427615681 | Joel David Larru | Nurse Practitioner | 3300 W Sunset Ave, Springdale, AR 72762-4950 | 2019-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
Find all providers in zip 72762 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053944025 | Dawn Yates | Nurse Practitioner | 302 S Shiloh St, Springdale, AR 72764-4409 | 2020-02-19 |
1295389930 | Edith Emelife | Nurse Practitioner | 9513 Stoney Ridge Rd, Springdale, MD 20774-5441 | 2019-07-31 |
1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
1811334246 | Aaron Jasso | Nurse Practitioner | 4207 Interlaken Ave, Springdale, AR 72762-0438 | 2013-05-24 |
1255654331 | Pamela Marie Mounce | Nurse Practitioner | 16412 Majestic Ln, Springdale, AR 72764-6745 | 2010-03-03 |
1184764995 | Helen G Mcmahan | Nurse Practitioner | 120 Lion Blvd, Springdale, UT 84767-0246 | 2007-02-08 |
1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
1346899333 | Kacie Larae Felton | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2019-09-11 |
1427615681 | Joel David Larru | Nurse Practitioner | 3300 W Sunset Ave, Springdale, AR 72762-4950 | 2019-05-23 |
1700345378 | Maria Angelica Crowley | Nurse Practitioner | 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 | 2019-03-13 |
Find all providers in SPRINGDALE |
City | SPRINGDALE |
Zip Code | 72762 |
Please comment or provide details below to improve the information on KATHRYN ELIZABETH MARTIN.
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.