Katherine B Martin

Key facts

NPI

1407355753

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

09 Akulmiut Street
Kasigluk, AK 99609

Phone

(907) 477-6210

Fax

(907) 477-6120

NPI assigned

Feb 1, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2018.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1407355753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "09 AKULMIUT STREET",
            "city": "KASIGLUK",
            "state": "AK",
            "postal_code": "99609",
            "telephone_number": "907-477-6210",
            "fax_number": "907-477-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "09 AKULMIUT STREET",
            "city": "KASIGLUK",
            "state": "AK",
            "postal_code": "99609",
            "telephone_number": "907-477-6210",
            "fax_number": "907-477-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kasigluk, AK

• Annie K Andrew
• Wassilene Z.M. Andrew
• Amanda Es Brink
• Olga M Clark
• Renae M Keene
• Margaret Martin
• Manuel F Seal
• Theresa Twitchell
• Ann Marie Wassilie, P.D.H.A I

All providers in Kasigluk, AK · Community Health Worker in Alaska