Nicki Dawn Martin, APRN,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN68714-FNP-BC Issued in WV

Practice address

277 Greasy Ridge Rd
Princeton, WV 24739-6900

Phone

(304) 425-7615

Fax

(304) 425-7635

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Nicki Dawn Kirby Former name

Medicare fee-for-service enrollment

Enrolled in WV, VA, GA3 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 3

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 and National Provider Directory roles.

• DX Mso of Georgia LLC

  • Multi-Specialty Clinic/Center
  • Dalton, GA
  • NPI 1922757111
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1225563679
  NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Culpeper, VA
  • NPI 1699019984
  NPD
• A T Platinum Corporation

  • Dentist
  • Bayamon, PR
  • NPI 1942331871
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1609275049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ELDER AVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24739",
            "telephone_number": "762-340-9353",
            "fax_number": "404-645-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GREASY RIDGE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247396900",
            "telephone_number": "304-425-7615",
            "fax_number": "304-425-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICKI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN68714-FNP-BC",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172549",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN68714-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028855",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICKI",
            "last_name": "KIRBY",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "credential": "APRN,FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Kevin Martin, D.D.S.
• Kimberly Martin
• Kimberly Lynn Martin
• Leslie Kay Martin
• Mary Beth Martin, RPH
• Sabrina Martin
• Thomas Charles Martin Jr., M.D.
• Taline Mason
• Terri Massie
• Lindsey Masters

• Family Nurse Practitioner in Princeton, WV
• Providers in Princeton, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.