Active NPI
Kathy Tyler Martin, FNP
- Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-047763
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-047763 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Associates LLC | Nurse Practitioner | Current | Accepting new patients |
| STV Neuro I LLC | Current | Accepting new patients | |
| Cardiovascular Associates of North Alabama, P.C. | Past | Accepting new patients | |
| Robert W Nesbitt MD PC | Past | 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
- 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.
-
- Neurological Surgery Physician
- Birmingham, AL
- NPI 1881048403
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
AL, Nurse Practitioner
-
- Cardiovascular Disease Physician
- Birmingham, AL
- NPI 1295784148
-
- Pain Medicine (Anesthesiology) Physician
- Vestavia Hills, AL
- NPI 1588731269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.