Individual provider Active NPI

Kathy Tyler Martin, FNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1215978390
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-047763 Issued in AL
Practice address
806 Saint Vincents Dr Ste 450
Birmingham, AL 35205-1684
Phone
(205) 986-5200
Fax
(205) 986-5250
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-047763 AL
Nurse Practitioner 363L00000X 1-047763 AL Primary

Addresses

Primary practice location

806 Saint Vincents Dr Ste 450
Birmingham, AL 35205-1684

Mailing address

806 St. Vincent'S Drive, Pob 4
Suite 450
Birmingham, AL 35205-1684
Phone (205) 986-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000338 AL Practitioner - Nurse Practitioner 3577633908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Neuro I LLCGroup PAC ID 8224309406, 5 clinicians

Practice addresses (Care Compare)

806 Saint Vincents Dr
Suite 450
Birmingham, AL 35205-1684
Phone (205) 986-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-047763ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Nurse Practitioner CurrentSince Apr 9, 2018 Accepting new patients
STV Neuro I LLC CurrentSince Mar 14, 2020 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Past Accepting new patients
Robert W Nesbitt MD PC PastSince Aug 1, 2019 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

806 Saint Vincents Dr
Ste 450
Birmingham, AL 35205
Phone (205) 536-7676

3125 Independence Dr
Ste 200
Homewood, AL 35209
Phone (205) 558-3427

150 Gilbreath Dr
#201
Oneonta, AL 35121
Phone (205) 274-8198

150 Gilbreath Dr
#B100
Oneonta, AL 35121
Phone (205) 274-3353

150 Gilbreath Dr
Ste 101
Oneonta, AL 35121
Phone (205) 274-3344

150 Gilbreath Dr
Ste 102
Oneonta, AL 35121
Phone (205) 274-3010

7067 Veterans Pkwy
Pell City, AL 35125
Phone (205) 814-2342

209 W Spring St
Ste 304
Sylacauga, AL 35150
Phone (205) 380-9761

209 W Spring St
Sylacauga, AL 35150
Phone (256) 249-0028

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15689/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1215978390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ST. VINCENT'S DRIVE, POB 4",
            "address_2": "SUITE 450",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051684",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR STE 450",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051684",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHY",
        "middle_name": "TYLER",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-047763",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-047763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.