NPIMap

Individual provider Active NPI

Christina Martin, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1205917531
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004027 Issued in KY
Practice address
1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412
Phone
(502) 276-5554
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3004027 KY
Family Nurse Practitioner 363LF0000X 3004027 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412

Mailing address

1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412
Phone (502) 276-5554

Other practice location 1

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 2

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701
Phone (270) 506-3300

Other identifiers 9

IdentifierTypeStateIssuer
3205478OtherUNITED HEALTHCARE
7100017960MedicaidKY
000000388244OtherKYBLUE CROSS FACETS ID
343528KYIPOtherKYAETNA BETTER HEALTH
201078550MedicaidIN
000001189538OtherANTHEM ID
1641617OtherWELLCARE
9226249OtherAETNA PIN
CS1827500489OtherCARESOURCE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001612 KY Practitioner - Nurse Practitioner 8123014867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Pain Institute PLLCGroup PAC ID 9638429657, 4 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Louisville, KY 40217-1417
Phone (502) 276-5554

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004027KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Aug 1, 2018 Accepting new patients
Ohio Valley Pain Institute PLLC Nurse Practitioner CurrentSince Jun 11, 2025 Accepting new patients
Louisville Emergency Medicine Associates PSC Past Accepting new patients

Locations

1169 Eastern Pkwy
Ste 400
Louisville, KY 40217
Phone (502) 276-5554

1169 Eastern Pkwy
Louisville, KY 40217
Phone (502) 242-9091

400 Executive Park
Louisville, KY 40207
Phone (502) 896-9877

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1205917531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171412",
            "telephone_number": "502-276-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171412",
            "telephone_number": "502-276-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "42701",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3205478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017960",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FACETS ID",
            "identifier": "000000388244",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "343528KYIP",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201078550",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000001189538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1641617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "9226249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE ID",
            "identifier": "CS1827500489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.