MARTINA RENATE MYERS APRN NPI 1053782417

NPI Information

NPI: 1053782417
Provider Name: MARTINA RENATE MYERS, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2201 LEXINGTON AVE
ASHLAND, KY
ZIP 41101
Phone: (606) 408-4000
Get Directions

Martina Renate Myers, APRN is a gerontology nurse practitioner in Ashland, KY. Martina Renate Myers, APRN NPI is 1053782417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2201 LEXINGTON AVE
ASHLAND, KY
ZIP 41101-843
Phone: (606) 408-4000
Fax: (606) 408-6825

The NPI 1053782417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2015 and was last updated on 2/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	3009684	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3009684	KENTUCKY	No
3	363LG0600X	Nurse Practitioner	Gerontology	3009684	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100463860	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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