Martha E. Eddy, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3001550 Issued in KY

Practice address

234 E Gray St
Suite 270
Louisville, KY 40202-1903

Phone

(502) 629-8830

Fax

(502) 629-7540

NPI assigned

May 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Pediatric Pulmonary Medicine, PSC

  • Pediatric Pulmonology Physician
  • Louisville, KY
  • NPI 1033270434
  NPD (past)
• University Pediatric Pulmonary, LLC

  • Pediatric Pulmonology Physician
  • Louisville, KY
  • NPI 1891026035

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1376590562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2469",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012469",
            "telephone_number": "502-852-8500",
            "fax_number": "502-852-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST",
            "address_2": "SUITE 270",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021903",
            "telephone_number": "502-629-8830",
            "fax_number": "502-629-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "MARTHA",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3001550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200803070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Jeanne Edds, DPT
• Alicia Edds, RBT
• Cheryl Lynn Edds
• Melissa Dawn Edds, PA-C
• Steven Edds, DO
• Christopher J Edelen, DMD, MS
• Jordan M Edelen, PAC
• Lindsay Edelen, TCADC
• Meredith Marie Edelen, LMFT LCSW
• Stephen J. Edelen, CRNA

• Pediatric Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.