Annie Martin
Individual provider Active NPI Homemaker · Kennewick, WA
NPI 1366916660 · NPPES record last updated Jan 20, 2019
Key facts
- NPI
- 1366916660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 715 S Buntin St
Kennewick, WA 99336-4830 - Phone
- (509) 627-8662
- NPI assigned
- Jan 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
715 S Buntin St
Kennewick, WA 99336-4830
Mailing address
715 S Buntin St
Kennewick, WA 99336-4830
Phone (509) 627-8662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04143237 | Other | WA | KAISER PERMANENTE |
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.