Individual provider Active NPI

Kaylan Martin Estenes, NP

  • Family Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1427740505
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.30457 Issued in SC
Practice address
375 Hope Pond Way Unit 104
Bluffton, SC 29910-3439
Phone
(843) 707-0006
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.30457 SC Primary
Nurse Practitioner 363L00000X NP248019 GA

Addresses

Primary practice location

375 Hope Pond Way Unit 104
Bluffton, SC 29910-3439

Mailing address

375 Hope Pond Way Unit 104
Bluffton, SC 29910-3439
Phone (843) 707-0006

Other names 1

  • Stephanie Kaylan Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821004047 GA Practitioner - Nurse Practitioner 6608238738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP248019GAMDNurse Practitioner
APN.30457SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1427740505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HOPE POND WAY UNIT 104",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299103439",
            "telephone_number": "843-707-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HOPE POND WAY UNIT 104",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299103439",
            "telephone_number": "843-707-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTENES",
        "first_name": "KAYLAN",
        "middle_name": "MARTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.30457",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP248019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MARTIN",
            "middle_name": "KAYLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.