Mary Lynn Martin Aprn LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARY LYNN MARTIN APRN LLC

Practice address

11020 King St Ste 220
Overland Park, KS 66210-1201

Phone

(913) 730-7746

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lynn Martin, APRNNPI 1013209188

Title

Owner / Aprn

Phone

(913) 961-2904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Lynn Martin, RN, ANP-C

  • Adult Health Nurse Practitioner
  • Overland Park, KS
  • NPI 1013209188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1144909441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14645 NW 66TH ST",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641528726",
            "telephone_number": "913-961-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 KING ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101201",
            "telephone_number": "913-730-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LYNN MARTIN APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER / APRN",
        "authorized_official_telephone_number": "913-961-2904",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Harris Martins, D.O.
• Lindsey Marts, MT-BC
• Brian Martveli, RBT
• Leslie B Marvin, CRNA
• Mary E Rich LLC
• Mebble Maseko-Hinson
• Mark Jeffrey Maslan, MD
• Jodi Lyn Mason-Eisenhauer, LCP
• Cori Elizabeth Mason, M.D.
• Lark R. Mason, L.S.C.S.W.

• Primary Care Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Primary Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.