Individual provider Active NPI

Adrienne Nicole Martin

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1093472292
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016543 Issued in KY
Practice address
2529 Six Mile LN
Louisville, KY 40220-2934
Phone
(502) 491-5560
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3016543 KY
Family Nurse Practitioner 363LF0000X 3016543 KY Primary

Addresses

Primary practice location

2529 Six Mile LN
Louisville, KY 40220-2934

Mailing address

303 Castleford Dr
Georgetown, KY 40324-2576
Phone (859) 338-6382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Group CurrentSince Apr 1, 2022 Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Nov 24, 2021 Accepting new patients

Locations

331 S Main St
Lawrenceburg, KY 40342
Phone (502) 839-7246

2401 Regency Rd
Ste 101
Lexington, KY 40503
Phone (859) 309-0309

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1093472292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CASTLEFORD DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242576",
            "telephone_number": "859-338-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 SIX MILE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202934",
            "telephone_number": "502-491-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ADRIENNE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3016543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.