MS. KATHLEEN ELIZABETH MARTIN (NPI# 1477981454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477981454 |
Entity Type | Individual |
Full Name | MS. KATHLEEN ELIZABETH MARTIN |
Credential | MSN, RN |
Practice Address |
1011 Bowles Ave Ste G50 Fenton MO 63026-0562 |
Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
Practice Telephone | 6364964640 |
Practice Fax Number | 6364964962 |
Enumeration Date | 2013-10-29 |
Last Update Date | 2020-11-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
139366 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6400 Clayton Rd Ste 212, Saint Louis, MO 631171850 | 3146453432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891229290 | Kathleen Martin | Behavioral Analyst | 21 Oxford Rd, White Plains, NY 10605-3607 | 2017-04-12 |
1336507904 | Kathleen Martin | Registered Nurse | 401 E Palmer St, Mount Pleasant, MI 48858-1547 | 2016-02-10 |
1023252277 | Kathleen Elaine Martin | Counselor | 211 S Norton Ave, Norton, KS 67654-2137 | 2009-04-30 |
1326201633 | Kathleen O'connor Martin | Physical Therapist | 30 Trellis Gate St, The Woodlands, TX 77382-5104 | 2008-07-07 |
1811184393 | Kathleen Nolan Martin | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2007-09-28 |
1689707473 | Kathleen Logan Martin | Occupational Therapy Assistant | 2841 Trotters Ln, Midlothian, VA 23113-4834 | 2007-03-13 |
1073649224 | Kathleen Anne Martin | Speech-Language Pathologist | 2652 S Wallis Smith Blvd, Springfield, MO 65804-3864 | 2007-02-24 |
1609910215 | Kathleen M Martin | Dental Hygienist | 389 Congress St, Portland, ME 04101-3509 | 2007-02-16 |
1467559781 | Kathleen Elizabeth Martin | Social Worker | 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 | 2006-09-20 |
1356300024 | Kathleen Martin | Registered Nurse | 211 Nautilus Dr, Apt. #4, Madison, WI 53705-4358 | 2006-03-21 |
Street Address |
1011 BOWLES AVE STE G50 |
City | FENTON |
State | MO |
Zip Code | 63026-0562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063618379 | Stephanie Jean Becker-koepke | Internal Medicine | 1011 Bowles Ave Ste G50, Fenton, MO 63026-0562 | 2007-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
Find all providers in zip 63026 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
1902327869 | Thomas Richard Schaefer | Nurse Practitioner | 700 N Leroy St, Fenton, MI 48430-2738 | 2017-06-30 |
1104368018 | Elaine Marie Zobrist | Nurse Practitioner | 999 Shadow Pine Dr, Fenton, MO 63026-8312 | 2016-11-08 |
1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
1821048372 | William A Andel | Nurse Practitioner | 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 | 2006-05-12 |
1861920142 | Lauren Melissa Beckmann | Nurse Practitioner | 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | 2017-05-31 |
1760878839 | Laura Ly Allen | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2015-04-15 |
1558799742 | Amanda Nicole Meitz | Nurse Practitioner | 1011 Bowles Ave, Suite 205, Fenton, MO 63026-2395 | 2013-10-24 |
1255568523 | Shelly Marie Oles | Nurse Practitioner | 2420 Owen Rd, Fenton, MI 48430-3417 | 2009-06-15 |
1801010251 | Connie L Hoehn Graves | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2007-04-13 |
Find all providers in FENTON |
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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.