Kathy Martin, MS is a
Nurse Practitioner - Adult Health based in Joplin, Missouri. Kathy Martin is licensed to practice in Missouri (license number 2005035596) and her current practice location is
315 S Pearl Ave, Joplin, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 781-6228.
NPI number for Kathy Martin is 1063403418 and her current mailing address is 315 S Pearl Ave, Joplin, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063403418.
Healthcare Provider's Profile
Full Name | Kathy Martin |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 315 S Pearl Ave, Joplin, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063403418
- Provider Enumeration Date: 11/03/2005
- Last Update Date: 06/25/2018
Medical Identifiers
Medical identifiers for Kathy Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063403418 | NPI | - | NPPES |
1003149261 | Medicaid | MO | |
20048789 | Medicaid | MO | |
244 | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2004008789 (Missouri) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 2005035596 (Missouri) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 2005035596 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathy Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathy Martin, MS 315 S Pearl Ave, Joplin, MO 64801-2538 Ph: (417) 781-6228 | Kathy Martin, MS 315 S Pearl Ave, Joplin, MO 64801 Ph: (417) 781-6228 |
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