Kathryn R Martin, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0906 Issued in NH

Practice address

136 County Farm Road
West Stewardstown, NH 03597

Phone

(603) 246-3321

NPI assigned

Dec 14, 2006

Last updated

Aug 17, 2022By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coos County Family Health Services IncGroup PAC ID 8628970480, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upper Connecticut Valley Hospital Hospital, Colebrook, NH, CCN 301300

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmartin@ncmawl-nh.direct.office.nextgen.com

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.

• Coos County Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Berlin, NH
  • NPI 1346242054
  Medicare reassignment Care Compare group
• Expressmed, LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1295856896
  Medicare reassignment NPD (past)
• Coos County Family Health Services, Inc

  dba Coos County Family Health - Colebrook Site

  • Federally Qualified Health Center (FQHC)
  • Colebrook, NH
  • NPI 1659163434
  NPD
• Coos County Institution

  • Nursing Facility/Intermediate Care Facility
  • West Stewartstown, NH
  • NPI 1114922788
  NPD (past)

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

• Upper Connecticut Valley Hospital Association

  • Critical Access Hospital
  • Colebrook, NH
  • NPI 1861489437
  Care Compare affiliation

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1518029933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FIRST ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763128",
            "telephone_number": "603-331-0500",
            "fax_number": "603-237-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 COUNTY FARM ROAD",
            "city": "WEST STEWARDSTOWN",
            "state": "NH",
            "postal_code": "03597",
            "telephone_number": "603-246-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Woodbourne Rd",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190571532",
            "country_code": "US",
            "telephone_number": "215-945-1125",
            "fax_number": "215-949-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 First St",
            "address_purpose": "LOCATION",
            "city": "Colebrook",
            "state": "NH",
            "postal_code": "035763128",
            "country_code": "US",
            "telephone_number": "603-331-0500",
            "fax_number": "603-237-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000044L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079443",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cooscountynh.com",
            "affiliation": "N",
            "address_1": "136 County Farm Road",
            "city": "West Stewardstown",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.

Verify at the official NPI Registry.