KIMBERLY LYNN MARTIN (NPI# 1174161756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161756 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYNN MARTIN |
| Practice Address |
141 Twin Lake Ln Princeton WV 24739-9591 |
| Practice Telephone | 3048888596 |
| Mailing Telephone | 3048888596 |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | L1M11160 | WV | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190282 | Kimberly F Martin | Technician | 370 Nunner Rd, Maineville, OH 45039-8515 | 2020-09-29 |
| 1801412390 | Kimberly Alberta Martin | Counselor | 2368 Crescent St Fl 1, Astoria, NY 11105-3108 | 2020-06-19 |
| 1316418361 | Kimberly Cathleen Martin | Nurse Practitioner | 607 Old Highway 24 W, Kokomo, MS 39643-5052 | 2018-12-16 |
| 1114494424 | Kimberly Martin | Rehabilitation Practitioner | 6655 S Fort Apache Rd Unit 110, Las Vegas, NV 89148-5061 | 2018-10-25 |
| 1700333416 | Kimberly Martin | Behavioral Analyst | 7421 Nw 34th St, Lauderhill, FL 33319-7103 | 2016-09-10 |
| 1467730838 | Kimberly Ann Martin | Speech-Language Pathologist | 7350 Hawk Rd, Flower Mound, TX 75022-6266 | 2011-08-02 |
| 1154617413 | Kimberly M Martin | Registered Nurse | 1204 Drill Ave Ne, Palm Bay, FL 32907-1121 | 2011-06-24 |
| 1598050742 | Kimberly Martin | Physical Therapist | 2821 Kings Mill Rd, Greensboro, NC 27407-6431 | 2011-06-16 |
| 1487812764 | Kimberly Ann Martin | Occupational Therapist | 128 Northgate Dr, De Queen, AR 71832-1700 | 2008-05-23 |
| 1003959263 | Kimberly Susan Martin | Social Worker | 1745 Route 9, Suite G, Clifton Park, NY 12065 | 2007-02-15 |
| Street Address |
141 TWIN LAKE LN |
| City | PRINCETON |
| State | WV |
| Zip Code | 24739-9591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920072 | Sophia D Wilkins | Technician | 106 Mt. View Dr., Princeton, WV 24739 | 2020-10-21 |
| 1740709146 | Stonerise Reliable Healthcare LLC | Home Health | 1908 Glenwood Park Road, Princeton, WV 24739 | 2017-09-18 |
| 1982983995 | Steven Lee Collins | Specialist | 313 Court House Road Suite 2, Princeton, WV 24739 | 2011-08-08 |
| 1437470259 | Dana R. Deskins | Massage Therapist | 1772 Maple Acres Rd, Princeton, WV 24739 | 2010-06-16 |
| 1689157760 | Shannon Stephens | Speech-Language Pathologist | 2503 Goodwins Chapel Rd, Princeton, WV 24739-4484 | 2018-09-13 |
| 1700342961 | Michael S Scott | Rehabilitation Counselor | 12298 Ingleside Rd, Princeton, WV 24739-4590 | 2019-02-13 |
| 1619915915 | Priority One Home Care, LLC | Durable Medical Equipment & Medical Supplies | 2057 Athens Road, Princeton, WV 24739-6258 | 2006-06-02 |
| 1790170835 | Chad Williams | Emergency Medicine | 177 Highpoint Ln, Princeton, WV 24739-6454 | 2015-04-06 |
| 1427139260 | Joy Ann Butcher-winfree | Psychologist | 760 Horton Ln, Princeton, WV 24739-6755 | 2006-10-18 |
| 1093732133 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2006-07-16 |
| Find all providers in zip 24739 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686996 | Molly Brown Moller | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2006-10-23 |
| 1043810336 | Jessica Nichols | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1124628425 | Lakesha Tate | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1376154617 | Patricia Bolen | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-08-11 |
| 1821607227 | Aaron Zane Pettrey | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-07-31 |
| 1881203008 | Lakie Elizabeth Delida | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-07-23 |
| 1992313613 | Michael Edwin Lewis | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-07-20 |
| 1912520677 | Krystal Rose Carver | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-05-28 |
| 1538796511 | Linda S Smith | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-03-27 |
| 1558998534 | Kaitlyn Faith Meadows | Case Manager/Care Coordinator | 1345 Mercer St, Princeton, WV 24740-3033 | 2020-03-27 |
| Find all providers in PRINCETON | ||||
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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.