Individual provider Active NPI

Kendra Justine Martin, CNP

  • Family Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1235655929
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2273583 Issued in MA
Practice address
1620 President Ave
Fall River, MA 02720-7148
Phone
(508) 672-2403
NPI assigned
Aug 15, 2017
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2273583 MA Primary

Addresses

Primary practice location

1620 President Ave
Fall River, MA 02720-7148

Mailing address

40 Rutland St
New Bedford, MA 02745-5829
Phone (774) 766-9783

Other names 1

  • Kendra Justine Barry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20171031003110 MA Practitioner - Nurse Practitioner 5193091429 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Hospitals Group IncGroup PAC ID 1850282310, 15 clinicians
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians
First Physicians CorporationGroup PAC ID 0244518454, 28 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 997-1515

1732 Gar Hwy
Swansea, MA 02777-3906
Phone (508) 379-0012

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-7215

67 Slade's Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2273583MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince May 1, 2018 Accepting new patients
Prima Care, PC CurrentSince Apr 1, 2025 Accepting new patients
Prima Care, PC CurrentSince Apr 1, 2025 Accepting new patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Aug 2, 2022 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Aug 2, 2022 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Mar 1, 2018 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince May 1, 2018 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: kbarry15624@direct.southcoast.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1235655929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RUTLAND ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455829",
            "telephone_number": "774-766-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PRESIDENT AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207148",
            "telephone_number": "508-672-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KENDRA",
        "middle_name": "JUSTINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2273583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "BARRY",
            "middle_name": "JUSTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.