Taryn Martin, APRN, FNP-C, ATC,LAT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP002240 Issued in SD

Practice address

2120 8TH Ave NE
Aberdeen, SD 57401-3242

Phone

(605) 725-4772

NPI assigned

Feb 27, 2017

Last updated

Nov 30, 2022By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, SD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conklin Clinics Prof LLCGroup PAC ID 8325391345, 8 clinicians

Ashley Medical CenterGroup PAC ID 8628981834, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
• Ashley Medical Center Hospital, Ashley, ND, CCN 351322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Conklin Clinics, Prof LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, SD
  • NPI 1457831497

  Family

  Medicare reassignment Care Compare group NPD
• Avera St. Luke's

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment NPD
• Ashley Medical Center

  • Critical Access Hospital
  • Ashley, ND
  • NPI 1740286616
  Medicare reassignment NPD
• Ashley Medical Center

  dba AMC Clinic

  • Clinic/Center
  • Ashley, ND
  • NPI 1851335830
  Medicare reassignment NPD
• Avera St Luke's

  dba Avera St Lukes Hospital

  • Emergency Medicine Physician
  • Aberdeen, SD
  • NPI 1124502646
  NPD
• Ashley Medical Center

  dba AMC Zeeland Clinic

  • Rural Health Clinic/Center
  • Zeeland, ND
  • NPI 1295777951
  NPD

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

• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation
• Ashley Medical Center

  • Critical Access Hospital
  • Ashley, ND
  • NPI 1740286616
  Care Compare affiliation

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1598205338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 8TH AVE NE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013242",
            "telephone_number": "605-725-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 8TH AVE NE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013242",
            "telephone_number": "605-725-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Center Ave N",
            "address_purpose": "LOCATION",
            "city": "Ashley",
            "state": "ND",
            "postal_code": "584137013",
            "country_code": "US",
            "telephone_number": "701-288-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TARYN",
        "credential": "APRN, FNP-C, ATC,LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R48736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002240",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0365",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "430-11",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Manus
• Tricia L Marcuson, CRNA
• Mark a. Bledsoe (Bledsoe Family Chiropractic Clinic)
• Allison Paige Marlow, RD, LN
• Marion Marske
• Kathryn Mary Martinez, MD
• Gerhard Marx, LCSW-PIP
• Lindsey Maryott, RBT
• Ruth Mason
• Julie M Mayo, DO

• Family Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.