Individual provider Active NPI

Kristen Dollar Martin, CRNP

  • Family Nurse Practitioner
  • Killen, AL
National Provider Identifier
1437677127
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118164 Issued in AL
Practice address
230 J C Mauldin Hwy
Killen, AL 35645-9145
Phone
(256) 272-5328
NPI assigned
Sep 1, 2017
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-118164 AL Primary

Addresses

Primary practice location

230 J C Mauldin Hwy
Killen, AL 35645-9145

Mailing address

230 J C Mauldin Hwy
Killen, AL 35645-9145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180718000171 AL Practitioner - Nurse Practitioner 7911254206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Killen Urgent Care, Inc.Group PAC ID 2860761202, 2 clinicians

Practice addresses (Care Compare)

230 J C Mauldin Hwy
Killen, AL 35645-9145
Phone (256) 272-5328

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-118164ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC Single Specialty CurrentSince Jan 6, 2018 Accepting new patients
Killen Urgent Care, Inc. Single Specialty CurrentSince May 13, 2022 Accepting new patients

Locations

230 J C Mauldin Hwy
Killen, AL 35645
Phone (256) 272-5328

340 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1437677127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 J C MAULDIN HWY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 J C MAULDIN HWY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459145",
            "telephone_number": "256-272-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KRISTEN",
        "middle_name": "DOLLAR",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killen, AL

Sources for this page

Verify at the official NPI Registry.