Individual provider Active NPI

Brittany Nicole Martin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1003546532
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017923 Issued in KY
Practice address
3208 College Dr
Louisville, KY 40299-3605
Phone
(502) 557-8713
Fax
(502) 323-6582
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017923 KY Primary

Addresses

Primary practice location

3208 College Dr
Louisville, KY 40299-3605

Mailing address

3208 College Dr
Louisville, KY 40299-3605
Phone (502) 557-8713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000995 KY Practitioner - Nurse Practitioner 6507242054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ava Health and Wellness PLLCGroup PAC ID 1052707999, 10 clinicians

Practice addresses (Care Compare)

417 Benjamin LN
Suite 101
Louisville, KY 40222-4939
Phone (502) 289-9306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ava Health and Wellness PLLC Psychiatric/Mental Health CurrentSince Mar 15, 2024 Accepting new patients
Metro Pediatric Associates PLLC Past Accepting new patients

Locations

417 Benjamin Ln
Louisville, KY 40222
Phone (502) 289-9306

9462 Brownsboro Rd
Louisville, KY 40241
Phone (502) 396-3320

417 Benjamin Ln
Ste 101
Louisville, KY 40222
Phone (502) 289-9306

9811 Brownsboro Rd
Ste 101
Louisville, KY 40241
Phone (502) 289-9306

3901 Dutchmans Ln
Ste 105
Louisville, KY 40207
Phone (502) 895-2334

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15826/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1003546532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 COLLEGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993605",
            "telephone_number": "502-557-8713",
            "fax_number": "502-323-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 COLLEGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993605",
            "telephone_number": "502-557-8713",
            "fax_number": "502-323-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.