MRS. KIMBERLY CATHLEEN MARTIN (NPI# 1316418361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316418361 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY CATHLEEN MARTIN |
| Other Name | KIMBERLY K LEE-MOSS |
| Credential | PMHNP |
| Practice Address |
607 Old Highway 24 W Kokomo MS 39643-5052 |
| Practice Telephone | 6016740508 |
| Mailing Telephone | 6016740508 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
902882 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 433 Plaza St, Bogalusa, LA 704273729 | 9857306700 | 9857306713 |
| 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 |
| 1174161756 | Kimberly Lynn Martin | Case Manager/Care Coordinator | 141 Twin Lake Ln, Princeton, WV 24739-9591 | 2019-12-14 |
| 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 |
607 OLD HIGHWAY 24 W |
| City | KOKOMO |
| State | MS |
| Zip Code | 39643-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538392634 | Family Health Care Clinic, Inc. | Clinic/Center | 325 Kokomo Rd, Kokomo, MS 39643 | 2009-08-24 |
| 1043827900 | Carla Odom | Student in an Organized Health Care Education/Training Program | 963 Taylor Rd, Kokomo, MS 39643-4967 | 2020-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406747 | Abigail A Campbell | Counselor | 2660 Sea Biscuit Ln, Kokomo, IN 46901-5093 | 2020-10-30 |
| 1518566140 | Alvin Guangco | Physical Therapist | 2320 Valentine Rd, Kokomo, IN 46902-3592 | 2020-10-24 |
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1043827900 | Carla Odom | Student in an Organized Health Care Education/Training Program | 963 Taylor Rd, Kokomo, MS 39643-4967 | 2020-09-24 |
| 1043826175 | Emily Brianne Edwards | Counselor | 217 E Southway Blvd, Kokomo, IN 46902-3698 | 2020-09-23 |
| 1831701655 | Steven Louis Konechnik | Physical Therapist | 1805 E Hoffer St, Kokomo, IN 46902-2443 | 2020-08-21 |
| 1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
| 1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1447868906 | Psychotherapy Associates of Kokomo, LLC | Counselor | 217 E Southway Blvd Ste 101, Kokomo, IN 46902-3577 | 2020-07-21 |
| Find all providers in KOKOMO | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896210 | Lana Wells | Nurse Practitioner | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2020-03-13 |
| 1881054575 | Heather Hare | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
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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.