KRISTIN K MARTIN (NPI# 1689835225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689835225 |
| Entity Type | Individual |
| Full Name | KRISTIN K MARTIN |
| Credential | D.O. |
| Practice Address |
400 Lake Front Dr Russellville AR 72802-2206 |
| Mailing Address |
4918 Stevens Dr Pine Bluff AR 71603-7322 |
| Practice Telephone | 9186716919 |
| Mailing Telephone | 9186716919 |
| Mailing Fax Number | 8705416009 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-6205 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E-6205 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4010 S Mulberry St, Pine Bluff, AR 716037000 | 8705416008 | 8705413198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568616654 | Kristin King Martin | Nurse Practitioner | 17505 Jefferson Hwy, Prairieville, LA 70769-3930 | 2008-11-17 |
| 1063012532 | Kristin Elizabeth Martin | Counselor | 575 E Main Rd, Middletown, RI 02842-5528 | 2020-10-26 |
| 1679110217 | Kristin Anne Martin | Counselor | 312 Iowa Ave, Muscatine, IA 52761-3836 | 2019-12-02 |
| 1417421272 | Kristin Elaine Martin | Speech-Language Pathologist | 813 N Franklin St, Van Wert, OH 45891-1303 | 2019-01-15 |
| 1851893903 | Kristin M Martin | Behavior Technician | 3441 Fort Campbell Blvd Ste F3, Clarksville, TN 37042-6684 | 2018-03-05 |
| 1811410939 | Kristin Lillian Martin | Behavioral Analyst | 33 Perry Ave, Attleboro, MA 02703-2417 | 2017-07-20 |
| 1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
| 1033590104 | Kristin Lorraine Martin | Obstetrics & Gynecology | 100 N Academy Ave, Danville, PA 17822-6202 | 2015-06-15 |
| 1033549126 | Kristin Martin | Pharmacist | 1801 E Parks Hwy, Wasilla, AK 99654-7350 | 2013-11-26 |
| 1184867657 | Kristin Ann Martin | Speech-Language Pathologist | 6000 Babcock Blvd, Pittsburgh, PA 15237-2564 | 2009-04-14 |
| Street Address |
400 LAKE FRONT DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063551265 | Arvac, Inc. | Substance Abuse Rehabilitation Facility | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2007-02-05 |
| 1386268555 | River Valley Medical Wellness, LLC | Family Medicine | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2020-06-03 |
| 1336524081 | Victor Roble | Rehabilitation Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-07-23 |
| 1649651852 | Grace Rideout | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1750762969 | Tracy Humphrey | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1770964975 | David Tucker | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1023405933 | Mary Conner | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942244090 | Richard E Daily | Emergency Medicine | 16 Rimrock Rd, Russellville, AR 72802-8878 | 2006-06-16 |
| 1770534752 | Logan Emergency Group LLC | Emergency Medicine | 1625 South Nashville Road, Russellville, KY 42276-8834 | 2006-05-13 |
| 1306895081 | Akhter S. Khan | Emergency Medicine | 1625 South Nashville Rd, Russellville, KY 42276-8834 | 2006-05-09 |
| 1326096421 | Marc Edward Berry | Emergency Medicine | 15155 Highway 43, Russellville, AL 35653-1975 | 2006-05-04 |
| 1285119198 | Saint Marys Primary Care Network LLC | Emergency Medicine | 1600 W C Pl, Russellville, AR 72801-2705 | 2018-09-26 |
| 1639609720 | Kevin Paul Bowling | Emergency Medicine | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2017-06-13 |
| 1720529498 | Arkansas Emergency Physician Associates, P.a. | Emergency Medicine | 1808 W Main St, Russellville, AR 72801-2724 | 2017-03-15 |
| 1659769529 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 511 W Main St, Russellville, AR 72801-3601 | 2014-12-31 |
| 1396150413 | Carlton Alexander Lee | Emergency Medicine | 1625 Nashville St, Russellville, KY 42276-8853 | 2014-06-26 |
| 1295975126 | Sterling Emergency Services of Alabama Inc | Emergency Medicine | 15155 Highway 43, Russellville, AL 35653-1975 | 2009-03-05 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
Please comment or provide details below to improve the information on KRISTIN K MARTIN.
| 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.