Active NPI
Kaylyn Mackenzie Martin, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4008834
- Practice address
- 3920 Dutchmans LN Ste 315
Louisville, KY 40207-4702 - Phone
- (502) 896-4246
- Fax
- (502) 896-1136
- NPI assigned
- Aug 29, 2023
- Last updated
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4008834 | KY | Primary |
Addresses
Primary practice location
3920 Dutchmans LN Ste 315
Louisville, KY 40207-4702
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 896-4246
Other names 1
- Kaylyn Mackenzie Popp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4008834 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| University of Louisville Physicians | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
105 Water St
Plymouth, IN 46563
Phone (574) 540-2052
3499 Blazer Pkwy
Ste 300
Lexington, KY 40509
Phone (859) 699-1803
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
3920 Dutchmans Ln
Ste 315
Louisville, KY 40207
Phone (502) 583-8005
2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kmartin38719@uoflhealth-dm.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
dba ULP Pediatric Sleep Medicine
- Pediatric Sleep Medicine Physician
- Louisville, KY
- NPI 1639435688
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1447035290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-896-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 DUTCHMANS LN STE 315",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074702",
"telephone_number": "502-896-4246",
"fax_number": "502-896-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KAYLYN",
"middle_name": "MACKENZIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4008834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLYN",
"last_name": "POPP",
"middle_name": "MACKENZIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.