Active NPI
Kendra Justine Martin, CNP
- Family Nurse Practitioner
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2273583
- Practice address
- 1620 President Ave
Fall River, MA 02720-7148 - Phone
- (508) 672-2403
- NPI assigned
- Aug 15, 2017
- Last updated
- Aug 15, 2017
- 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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2273583 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carecentral Urgent Care Medical Group PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current | Accepting new patients | |
| Southcoast Hospitals Group Inc | Current | Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current | Accepting new patients | |
| Steward Emergency Physicians, Inc | Current | Accepting new patients | |
| Carecentral Urgent Care Medical Group PC | Current | 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
- 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.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
dba Charlton Memorial Hospital
- General Acute Care Hospital
- Fall River, MA
- NPI 1306871223
-
- Emergency Medicine Physician
- Fall River, MA
- NPI 1255493474
-
dba CareCentral Urgent Care
- Urgent Care Clinic/Center
- Stoughton, MA
- NPI 1922385319
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
dba CareCentral Urgent Care
- Urgent Care Clinic/Center
- Halifax, MA
- NPI 1053119677
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
dba Southcoast Pharmacy
- Community/Retail Pharmacy
- New Bedford, MA
- NPI 1376565366
-
dba St. Luke's Hospital
- General Acute Care Hospital
- New Bedford, MA
- NPI 1447275037
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.