Martina Kinchion

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

13114375 Issued in KS

Practice address

1200 S 10TH St Unit 703
Pflugerville, TX 78660-2636

Phone

(316) 727-9103

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Martina Gitau Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Breakthrough Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pflugerville, TX
  • NPI 1114631918
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1265168967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 10TH ST UNIT 703",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602636",
            "telephone_number": "316-727-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 10TH ST UNIT 703",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602636",
            "telephone_number": "316-727-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHION",
        "first_name": "MARTINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "KS",
            "license": "13114375",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "KS",
            "license": "13114375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "GITAU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arfa Khan
• Inas Khattab, LSA
• Alesha Marie Kidd
• Sujeong Kim
• Yelin Kim, OTR
• Faith Kinlow, RBT
• Janette Kinney, CPHT
• KK Smiles Associates PLLC
• KMB Holdings Inc
• Kendra Knight Coleman

• Gerontology Registered Nurse in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Gerontology Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.