KELSEY MARTIN (NPI# 1205398708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205398708 |
| Entity Type | Individual |
| Full Name | KELSEY MARTIN |
| Credential | DNP, FNP-C |
| Practice Address |
3280 E Lanark Dr Meridian ID 83642-5982 |
| Mailing Address |
Po Box 191050 Boise ID 83719-1050 |
| Practice Telephone | 2083774400 |
| Practice Fax Number | 2083774416 |
| Mailing Telephone | 2089556500 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
61011 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124530795 | Kelsey Lynn Martin | Case Manager/Care Coordinator | 4302 Allen Rd Ste 402, Stow, OH 44224-1070 | 2017-11-03 |
| 1477968691 | Kelsey Shea Martin | Speech-Language Pathologist | 6614 Buck Horn Pl, Waxhaw, NC 28173-0181 | 2014-06-26 |
| 1245507565 | Kelsey Renee Martin | Midwife, Lay | 13315 Route 35 S, Mifflin, PA 17058-7228 | 2011-12-01 |
| 1467763946 | Kelsey Thompson Martin | Internal Medicine | 240 Indian River Rd Ste A1, Orange, CT 06477-3690 | 2010-06-29 |
| 1316575038 | Kelsey Martin | Nurse Practitioner | 273 E Ovilla Rd Ste 4, Red Oak, TX 75154-2605 | 2020-03-29 |
| 1245725860 | Kelsey Aileen Martin | Nurse Practitioner | 1540 Maple Rd, Williamsville, NY 14221 | 2018-06-26 |
| 1922595115 | Kelsey Martin | Speech-Language Pathologist | 2043 W Belmont Ave Ste 1, Chicago, IL 60618-6796 | 2018-04-13 |
| 1104329432 | Kelsey Ann Martin | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2018-03-13 |
| 1619478559 | Kelsey Palm Martin | Nurse Practitioner | 250 25th Ave N Ste 200, Nashville, TN 37203-1619 | 2018-02-26 |
| 1477073922 | Kelsey Martin | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2017-06-26 |
| Street Address |
3280 E LANARK DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584534 | Katie L Weller | Nurse Practitioner | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2006-05-12 |
| 1316410558 | Kaley A Martinson | Physician Assistant | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2019-01-10 |
| 1104303072 | Kelly Moore | Nurse Practitioner | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2018-07-24 |
| 1184134843 | Erin Marie Shumard | Physician Assistant | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2017-10-09 |
| 1558815670 | Courtney Smith | Physician Assistant | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2016-08-05 |
| 1114056132 | Aaron Jay Epperson | Specialist/Technologist | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2007-03-05 |
| 1932110939 | Margo Smedshammer | Physician Assistant | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2006-08-11 |
| 1265478531 | Susan C Kim | Pediatrics | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2006-06-22 |
| 1942245840 | David L Peterman | Pediatrics | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| Find all providers in MERIDIAN | ||||
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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.