Kathrine Mae Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10781 E Cherry Bend Rd # Studio2
Traverse City, MI 49684-5249

Phone

(231) 268-0007

Fax

(231) 525-3170

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1689259491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 S MOREY RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519190",
            "telephone_number": "517-262-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10781 E CHERRY BEND RD # STUDIO2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845249",
            "telephone_number": "231-268-0007",
            "fax_number": "231-525-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KATHRINE",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Martin, MD
• Kaela Ann Martin
• Kathryn Louise Martin, MA, LPC, CAC II
• Matthew W Martin, MD
• Korin Dee Martinek
• Kathryn J Marusarz
• Marion Marxer
• Mary Free Bed Orthotics and Prosthetics
• Mary Klemens MD PLLC
• Alicia Danyce Mason, FNP-C

• Behavior Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.