Karly Irene Martin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311424-031 Issued in WI

Practice address

14772 W Hidden Creek CT
New Berlin, WI 53151-4441

Phone

(414) 640-0840

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1356572333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14772 W HIDDEN CREEK CT",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514441",
            "telephone_number": "414-640-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14772 W HIDDEN CREEK CT",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514441",
            "telephone_number": "414-640-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KARLY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "311424-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis P. Mannino, M.D.
• Gabrielle N Mannino, MD
• Marathon Health, LLC
• Taylor Elizabeth Marlowe, MD
• Deborah Lynn Martell, LPN
• Michelle L Martin, APNP
• Shane G Martin, DC
• Bianka Martinez, DO
• Rebecca Gayle Martinie, MD
• Samuel T Marusic, PT

• Licensed Practical Nurse in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.