Kathy Haley Martin

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1111817 Issued in MS

Practice address

5 County Road 1053
Booneville, MS 38829-7726

Phone

(662) 554-8981

Fax

(662) 869-0020

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1518406958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COUNTY ROAD 1053",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297726",
            "telephone_number": "662-554-8981",
            "fax_number": "662-869-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COUNTY ROAD 1053",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297726",
            "telephone_number": "662-554-8981",
            "fax_number": "662-869-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHY",
        "middle_name": "HALEY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "1111817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Jo Lambert, FNP-C
• Vanity Kay Langston
• Vickie Lawson, CMHT
• Lydia Jackson Lovell, CRNP
• Jose L Madara Jr.
• Lizette Martinez-Ramos
• Crystal N Massey, FNP-BC
• Rebekah May
• Stephanie McLarty, LPTA
• Chelsea Cara McMillin, RN

• Durable Medical Equipment & Medical Supplies in Booneville, MS
• Providers in Booneville, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.