Katherine J Martin, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN000008445 Issued in TN

Practice address

616 Smithview Dr
Maryville, TN 37803-6100

Phone

(865) 379-2277

Fax

(865) 738-0087

NPI assigned

Jul 3, 2006

Last updated

Jun 26, 2026By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Creek Pediatric & Adolescent Medicine, PC

  • Pediatrics Physician
  • Maryville, TN
  • NPI 1003039223
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1437189990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-379-2277",
            "fax_number": "888-559-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-379-2277",
            "fax_number": "865-738-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN000008445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN0000093981",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE ID#",
            "identifier": "TN0105",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE LICENSE",
            "identifier": "APN000006762",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF FITNESS",
            "identifier": "3389",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn H Marshall, M.A., CCC-SLP
• Rae Allen Marsmaker
• James William Martin Jr.
• Jeffrey Wayne Martin, M.D.
• John Thomas Martin, RPH
• Rebecca P Martin
• Stephenie Ann Martin, B.S.
• Tracy Dale Martin, PT, ATC
• Maryville Anesthesiologists PC
• Maryville ASC (Tennessee Endoscopy Center)

• Pediatric Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.