Kelly Marie Martin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN287185 Issued in PA

Practice address

909 S Michael St
Saint Marys, PA 15857-3030

Phone

(814) 781-5432

Fax

(814) 372-2645

NPI assigned

Jul 25, 2019

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

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1386298677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MILLION DOLLAR HWY",
            "city": "KERSEY",
            "state": "PA",
            "postal_code": "15846",
            "telephone_number": "814-781-5432",
            "fax_number": "814-372-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S MICHAEL ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573030",
            "telephone_number": "814-781-5432",
            "fax_number": "814-372-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN287185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Lepovetsky, D.C.
• Wu Jan Lin, M.D.
• Katherine Dawn Luvaas, O.D.
• Lori Elizabeth Mahoney, MS CCC SLP
• Terence Joseph Maloney, OTR/L
• Jennifer Ann McAllister, CRNP
• David Gerard McKeown, MBBCH MCH
• Sarah Means, PA-C
• April Marie Meyer
• Hillary Meyer, CPHT

• Licensed Practical Nurse in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.