Provider Type Icon

MRS. KATHLEEN ANN MARTIN APRN NPI 1639123763


NPI Information

NPI: 1639123763
Provider Name: MRS. KATHLEEN ANN MARTIN, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
DEPT OF CARDIOLOGY
LEBANON, NH
ZIP 03756
Phone: (603) 650-7756
Get Directions

MRS. Kathleen Ann Martin, APRN is an acute care nurse practitioner in Lebanon, NH with 24 years of experience. MRS. Kathleen Ann Martin, APRN NPI is 1639123763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1 MEDICAL CENTER DR
DEPT OF CARDIOLOGY
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-7756
Fax: (603) 650-5267

The NPI 1639123763 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 5/22/2006 and was last updated on 11/22/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care052389-23-12NEW HAMPSHIREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NP4311MEDICARE PINNEW HAMPSHIRE
21010118MEDICAIDVERMONT
3NP431101MEDICARE PINNEW HAMPSHIRE
430342522MEDICAIDNEW HAMPSHIRE
5Q00060MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.