Kent S. Martin

Primary specialty

DriverTaxonomy code 172A00000X

License

T63350847 Issued in VA

Practice address

371 Nettle Ridge Loop
Stuart, VA 24171-2653

Phone

(276) 694-3892

NPI assigned

Oct 9, 2018

Last updated

Oct 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kent S. Martin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foothills Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Stuart, VA
  • NPI 1265999858
  NPD (past) Authorized official

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1659846343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NETTLE RIDGE LOOP",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241712653",
            "telephone_number": "276-694-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NETTLE RIDGE LOOP",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241712653",
            "telephone_number": "276-694-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KENT",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T63350847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENT",
            "last_name": "MARTIN",
            "middle_name": "S.",
            "credential": "NEMT PROVIDER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lexington Clinic Corp
• Lexington Family Physicians LLC
• Dana Stewart Mabe, FNP
• Evelyn Madison
• Sheree Wells Marilla, FNP
• Pepper Leigh Martin, L.P.C.
• Martinsville Henry County Coalition for Health and Wellness (Connect Health - Patrick)
• Medical Transport of Patrick, LLC
• Medicomp, Inc. (Medicomp Physical Therapy Patrick)
• Terri Mills, LPC

• Driver in Stuart, VA
• Providers in Stuart, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.