Martha Klay, LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

158733 Issued in MA

Legal business name

MARTHA KLAY, LLC

Practice address

115 East St
Great Barrington, MA 01230-1433

Phone

(413) 429-6165

Fax

(201) 773-0182

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Martha Klay, APRN, RN

Title

Owner

Phone

(201) 300-6650

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1013287358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAST ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301433",
            "telephone_number": "413-429-6165",
            "fax_number": "201-773-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301433",
            "telephone_number": "413-429-6165",
            "fax_number": "201-773-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA KLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "KLAY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-300-6650",
        "authorized_official_credential": "APRN, RN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "158733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004202800",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723908",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia G Makuc, RPH
• Michelle Manto, DACM
• Emily Maple, PHD
• Jenny Margo, LICSW
• Rania Markham, MSW, LICSW
• Massachusetts Physicians Group LLC
• Jaclynn Ann Mauke
• Bruce M McCarter, PSY.D.
• Meg Elizabeth McGonagle
• Elizabeth J McLaughlin, LICSW

• Licensed Practical Nurse in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.