Julie K Martin, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

901462 Issued in MS

Practice address

1403 43Rd Ave
Gulfport, MS 39501-2545

Phone

(228) 861-5240

NPI assigned

Sep 13, 2016

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Julie Kathryn Powell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.martin.p1@direct.cfhc.nextgenshare.com

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.

• Julie K Martin, Pmhnp-BC, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1992270995
  Authorized official Same address or phone
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc Central Elementary

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1427842913
  NPD
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Biloxi, MS
  • NPI 1629066782
  NPD
• Coastal Family Health Center, Inc.

  dba Pass Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • Pass Christian, MS
  • NPI 1801102793
  NPD
• TBD Acquisition II LLC

  dba Gulfport Behavioral Health System

  • Psychiatric Hospital
  • Gulfport, MS
  • NPI 1750891792
  NPD
• TBD Acquisition II, LLC

  dba Gulfport Behavioral Health System

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1003324419
  NPD
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - Lucedale Clinic

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1861950982
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1689122277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 43RD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012545",
            "telephone_number": "228-861-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 43RD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012545",
            "telephone_number": "228-861-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Broad Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012459",
            "country_code": "US",
            "telephone_number": "228-867-5202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07152757",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "POWELL",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marsha Vyverberg, NP, PLLC
• Jon Barry Marshall, O.D.
• Nyron T Marshall, M.D.
• Elisha Martin
• Jessie Nicole Martin, DO
• Linda Martin
• Catherine Carter Martinez
• Lauren Martino, PHARMD
• Eleza Michele Martorana, RN
• Kathrine Mason, MS, LPC

• Psychiatric/Mental Health Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.