Kylee Martin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1318428 Issued in AZ

Practice address

5860 S Hospital Dr Ste 102
Globe, AZ 85501-9449

Phone

(928) 402-0491

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylee.martin.p1@direct.canyonlands.nextgenshare.com

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.

• Canyonlands Community Health Care

  • Family Medicine Physician
  • Page, AZ
  • NPI 1609966860

  Nurse Practitioner

  Medicare reassignment NPD
• Canyonlands Community Health Care

  dba Duncan Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Duncan, AZ
  • NPI 1033275706
  NPD
• Canyonlands Community Health Care

  dba Canyonlands Healthcare - Adams Chiropractic

  • Federally Qualified Health Center (FQHC)
  • Page, AZ
  • NPI 1457187981
  NPD
• Canyonlands Community Health Care

  dba Canyonlands Health Care - Clifton

  • Federally Qualified Health Center (FQHC)
  • Clifton, AZ
  • NPI 1134568660
  NPD (past)
• Canyonlands Community Health Care

  dba Canyonlands Healthcare Globe

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1417218876
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1245067099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 N 2500 W",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704702",
            "telephone_number": "435-272-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S HOSPITAL DR STE 102",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019449",
            "telephone_number": "928-402-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KYLEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "1318428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attila Mady, MD
• Benjamin Magbie
• Mahmoud M Omari MD PC
• Joy Marie Maines, PA-C
• Dania Mancha, FNP-BC
• Megan Lane Martin, PHARMD
• Zachariah McBride, PA-C
• Gerald Douglas McDaniel, LPC
• John William McMahon Jr., M.D.
• Neal R. McMann, ED.D.

• Family Nurse Practitioner in Globe, AZ
• Providers in Globe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.