Active NPI
Kathryn S Martin
- Registered Nurse
- Wichita, KS
National Provider Identifier
1225426091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 11033
- Practice address
- 434 N Oliver Ave
Wichita, KS 67208-4000 - Phone
- (316) 660-1028
- Fax
- (316) 660-7510
- NPI assigned
- Jan 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 11033 | KS | Primary |
Addresses
Primary practice location
434 N Oliver Ave
Wichita, KS 67208-4000
Mailing address
635 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11033 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1225426091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N MAIN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033602",
"telephone_number": "316-660-7600",
"fax_number": "316-941-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 N OLIVER AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084000",
"telephone_number": "316-660-1028",
"fax_number": "316-660-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KATHRYN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "11033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.