KELLY M MARTIN (NPI# 1265804546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265804546 |
| Entity Type | Individual |
| Full Name | KELLY M MARTIN |
| Credential | CRNP |
| Practice Address |
5241 Buffalo Rd Erie PA 16510-2391 |
| Practice Telephone | 1487776868 |
| Practice Fax Number | 8148777692 |
| Mailing Telephone | 1487776868 |
| Mailing Fax Number | 8148777692 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP015452 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015452 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1376900654 | Kelly Ann Martin | Counselor | 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 | 2016-01-18 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Street Address |
5241 BUFFALO RD |
| City | ERIE |
| State | PA |
| Zip Code | 16510-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164199 | Cassie J Harrington | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2005-06-20 |
| 1326511163 | Angela Marie Bootes | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2019-01-04 |
| 1730611633 | Meg K Peterson | Physician Assistant | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2017-03-30 |
| 1841731304 | Shawna Rae Ward | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2017-03-17 |
| 1114371473 | Deneen M Crosby | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2016-04-22 |
| 1144682527 | Ivan Charles Loker | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2016-03-24 |
| 1013327923 | Samantha M Swords | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2014-04-30 |
| 1255686382 | Karen Ann Bengel | Physician Assistant | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2012-07-15 |
| 1134386543 | Regional Health Services, Inc. | Clinical Medical Laboratory | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2008-05-22 |
| 1447417191 | Regional Health Services, Inc. | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285115972 | Alexa Snyder | Occupational Therapist | 2544 Hope Dr Apt 1, Erie, PA 16510 | 2018-08-22 |
| 1538610977 | Valentine Ekule Ojong | Exclusive Provider Organization | 4173 Wood Hills Dr, Erie, PA 16510 | 2016-10-20 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1205910387 | Daryl Thomas Pierce | Dentist | 4626 Buffalo Road, Erie, PA 16510 | 2006-10-25 |
| 1326158155 | Robert Louis Baxter | Dentist | 3311 Buffalo Rd, Erie, PA 16510 | 2006-08-30 |
| 1518516897 | Helping Hands Angels LLC | Home Health | 1523 Prospect Ave, Erie, PA 16510-1041 | 2019-09-09 |
| 1932748357 | Global In-home Care LLC | Home Health | 2066 E 18th St, Erie, PA 16510-1118 | 2020-01-02 |
| 1699050526 | Judy Colleen Butler | Registered Nurse | 2068 E 20th St, Erie, PA 16510-1148 | 2011-10-11 |
| 1972779320 | Adrienne Michele Dixon-mccullum | Psychologist | 2513 Harrison St, Erie, PA 16510-1511 | 2008-05-06 |
| 1790768489 | Joseph Thomas Ropelewski | Social Worker | 2307 Bird Dr, Erie, PA 16510-1539 | 2005-11-28 |
| Find all providers in zip 16510 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127027 | Dustin T Schumacher | Nurse Practitioner | 100 Peach St Ste 201, Erie, PA 16507-1423 | 2016-11-18 |
| 1316499973 | Angel F Sunafrank | Nurse Practitioner | 300 State St Ste 400a, Erie, PA 16507-1478 | 2016-10-31 |
| 1750670006 | Therese Raymonde Christiansen | Nurse Practitioner | 333 State St Ste 400a, Erie, PA 16507-1450 | 2011-04-06 |
| 1679806616 | Laura Jane Merriott | Nurse Practitioner | 4402 Peach St., Suite 302, Erie, PA 16509 | 2009-09-09 |
| 1902046501 | Denise Joanne Pero | Nurse Practitioner | 271 Edgewater Cir, Erie, PA 16509-3785 | 2009-02-23 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1598715849 | Carol A Hager | Nurse Practitioner | 300 State St Ste 107, Erie, PA 16507-1428 | 2006-05-10 |
| 1639139645 | Mary Alice Mcginnis | Nurse Practitioner | 1700 Peach St Ste 200, Erie, PA 16501-2134 | 2006-03-24 |
| 1720069206 | Paul J Dill | Nurse Practitioner | 1910 Sassafras St Ste 200, Erie, PA 16502-2716 | 2005-11-10 |
| 1053304998 | Mary Kathleen Ditullio | Nurse Practitioner | 17 Merline Ave, Erie, PA 16509-1567 | 2005-08-25 |
| Find all providers in ERIE | ||||
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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.