Tarah King-Martin, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

360419 Issued in OH

Practice address

590 Village Mill Dr
Sunbury, OH 43074-9395

Phone

(614) 313-3259

NPI assigned

Nov 5, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1689975732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 VILLAGE MILL DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 VILLAGE MILL DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749395",
            "telephone_number": "614-313-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-MARTIN",
        "first_name": "TARAH",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "360419",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "360419",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "360419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273-3546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn C Miller DDS LLC
• Christopher Kelb
• Sue Kelly, L.M.T.
• Alexa Kennedy
• Deborah Treaster Kessler, PH.D.
• Laura Klein
• Alexander Konstan, DDS
• Joyce Kuo, OD
• Melissa Dawn Lamb, RN
• Angela Faye Lecrone-Brecker, LPN

• Registered Nurse in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.