Active NPI
Kathryn L Martinson, MSN FNP-BC ARNP
- Family Nurse Practitioner
- Christiansburg, VA
National Provider Identifier
1235246554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167407
- Practice address
- 550 N Franklin St
Minuteclinic
Christiansburg, VA 24073-1916 - Phone
- (540) 381-1153
- Fax
- (540) 381-1153
- NPI assigned
- Aug 23, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024167407 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024167407 | VA | Primary |
Addresses
Primary practice location
550 N Franklin St
Minuteclinic
Christiansburg, VA 24073-1916
Mailing address
717 Givens LN
Blacksburg, VA 24060-1834
Phone (540) 951-0790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300647600 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167407 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Multispecialty Physicians LLC | Past | Accepting new patients | |
| Coastal Dermatology PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCHICA
Organizations & group practices 2
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.
-
- Dermatology Physician
- Jacksonville, FL
- NPI 1366431769
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1639593213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1235246554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 GIVENS LN",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240601834",
"telephone_number": "540-951-0790",
"fax_number": "540-951-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N FRANKLIN ST",
"address_2": "MINUTECLINIC",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240731916",
"telephone_number": "540-381-1153",
"fax_number": "540-381-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINSON",
"first_name": "KATHRYN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSN FNP-BC ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024167407",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300647600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.