Tamara Kae Martin
Individual provider Active NPI Home Health Aide · Lakeview, OH
NPI 1659129781 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1659129781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 11691 Channel View Dr
Lakeview, OH 43331-9208 - Phone
- (937) 441-6708
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
11691 Channel View Dr
Lakeview, OH 43331-9208
Mailing address
110 Grand Ave Unit C
Russells Point, OH 43348-8501
Phone (937) 441-6708
Other providers in Lakeview, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.