KATHLEEN A. MARTIN (NPI# 1821225343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821225343 |
| Entity Type | Individual |
| Full Name | KATHLEEN A. MARTIN |
| Credential | N.P. |
| Practice Address |
620 Broad St Central State Hospital Milledgeville GA 31062-7525 |
| Practice Telephone | 4784454128 |
| Mailing Telephone | 4784454128 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN114158NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | RN114158NP | 01 |
| 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 |
620 BROAD ST CENTRAL STATE HOSPITAL |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31062-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528486784 | Frank Nelson Ragland | Respiratory Therapist, Registered | 620 Broad St, Milledgeville, GA 31062-7525 | 2014-04-03 |
| 1902030307 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 620 Broad St, Milledgeville, GA 31062-7525 | 2009-05-13 |
| 1831334515 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 620 Broad St, Central Care-yarbrough Bldg-3rd Floor, Milledgeville, GA 31062-7525 | 2008-12-09 |
| 1740462399 | Wigberto Vivas | General Practice | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-05 |
| 1770765745 | Cynthia B. Lee | Dentist | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-03 |
| 1336350750 | Ernesto A Coligado | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-05-25 |
| 1013068030 | Charles Meyer Jr. | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
| 1790836724 | Anita Mikita | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
| 1578679122 | Yonghua Du | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-23 |
| 1205848660 | Bhagwant R Verma | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758429 | Mary Decruise | Psychologist | 2450 Vinson Hwy, Milledgeville, GA 31062 | 2007-12-28 |
| 1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
| 1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
| 1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
| 1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1659369866 | Clinton Wade Hodges | Pharmacist | Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 | 2005-10-11 |
| 1922621184 | Uzma Beg | Psychiatry & Neurology | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2020-05-22 |
| 1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
| 1235527144 | Loukisha Monique Roberts | Registered Nurse | 2450 Vinson Highway, Milledgeville, GA 31062-5641 | 2014-12-30 |
| Find all providers in zip 31062 | ||||
| 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 |
|---|---|---|---|---|
| 1174174429 | Sheikeem Scott | Nurse Practitioner | 2309 Sherry Cir Apt G6, Milledgeville, GA 31061-4982 | 2019-09-26 |
| 1770005084 | Rachelle A Smith | Nurse Practitioner | 1217 N Columbia Dr, Milledgeville, GA 31061-2391 | 2017-07-10 |
| 1477703221 | Angelia Anderson Mason | Nurse Practitioner | 231 W. Hancock Street, Milledgeville, GA 31061 | 2008-09-29 |
| 1831254382 | Latonja Q. Johnson-young | Nurse Practitioner | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | 2006-12-26 |
| 1447710207 | Robert Youngblood | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2019-03-20 |
| 1548743727 | Katyln Taylor Hogg | Nurse Practitioner | 2803 N Columbia St Unit D, Milledgeville, GA 31061-6448 | 2018-09-13 |
| 1114222668 | Tonya M Burnett | Nurse Practitioner | 821 N Cobb St, Emergency Dept., Milledgeville, GA 31061-2343 | 2011-01-13 |
| 1376854091 | Jessica Rose Hudson | Nurse Practitioner | 230 N Jefferson St Ne, Milledgeville, GA 31061-3418 | 2010-06-28 |
| 1881874782 | Regina Lynn Andrews | Nurse Practitioner | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | 2007-11-07 |
| 1124210273 | London Eady | Nurse Practitioner | 821 N Cobb St, Suite 100, Milledgeville, GA 31061-2343 | 2007-08-13 |
| Find all providers in MILLEDGEVILLE | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31062 |
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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.