Alyse C Martin, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3008308 Issued in KY

Practice address

9569 Taylorsville Road Suite 109
Louisville, KY 40299

Phone

(502) 261-0655

Fax

(502) 261-0699

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alyse C Harris Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment NPD
• Baptist Medical Associates Inc

  • Neurology Physician
  • Louisville, KY
  • NPI 1386872471
  NPD

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1740616192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-261-0655",
            "fax_number": "502-261-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9569 TAYLORSVILLE ROAD SUITE 109",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "502-261-0655",
            "fax_number": "502-261-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 High Point Ct Ste 700",
            "address_purpose": "LOCATION",
            "city": "Mount Washington",
            "state": "KY",
            "postal_code": "400475529",
            "country_code": "US",
            "telephone_number": "502-928-1050",
            "fax_number": "502-928-1051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10216 Taylorsville Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402993617",
            "country_code": "US",
            "telephone_number": "502-928-1050",
            "fax_number": "502-928-1051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALYSE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008308",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100261240",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharris20725@bhkydirect.com",
            "affiliation": "N",
            "address_1": "10216 Taylorsville Rd Ste 500",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402993617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "HARRIS",
            "middle_name": "C",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin S Fox
• Pamela Martin-Barnes
• Adrienne Nicole Martin
• Aleshea Elizabeth Martin, PHARM.D.
• Alvin W. Martin, MD
• Amanda Martin, M.ED, LPCC
• Anna Tucker Martin, MSOT, OTR/L
• Antoinette Marie Martin, TCADC
• Barbara Martin, MSSW-LCSW
• Brian Eigelbach Martin

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

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