Avery Jea Martin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3013651 Issued in KY

Practice address

405 Violet Rd
Crittenden, KY 41030-8956

Phone

(859) 428-1610

Fax

(859) 428-3923

NPI assigned

Aug 11, 2019

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amartin332705@direct-prd.stelizabeth.com

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1053967653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 VIOLET RD",
            "city": "CRITTENDEN",
            "state": "KY",
            "postal_code": "410308956",
            "telephone_number": "859-428-1610",
            "fax_number": "859-428-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AVERY",
        "middle_name": "JEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013651",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Kiser, LPCA
• Tianna Maria Lawton, MD
• Lenihan and Hoffer Dental PSC
• John Francis Lenihan II, DMD
• Chanadie Charlene Machal
• Miran H. McClendon, LCADC, LPCC
• Gary Jasper Melton, MD
• Mary Milner
• Kathie E Morgan, MD
• Norman a Case, DC, PLLC (Case Family Chiropractic)

• Nurse Practitioner in Crittenden, KY
• Providers in Crittenden, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.