Active NPI
Kimberley Martin, STNA
- Home Health Agency
- Columbus, OH
National Provider Identifier
1740796473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 400955920809
- Practice address
- 171 N Wilson Rd Apt 35
Columbus, OH 43204-1222 - Phone
- (614) 597-6083
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 400955920809 | OH | Primary |
Addresses
Primary practice location
171 N Wilson Rd Apt 35
Columbus, OH 43204-1222
Mailing address
171 N Wilson Rd Apt 35
Columbus, OH 43204-1222
Phone (614) 597-6083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2793571 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400955920809 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1740796473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 N WILSON RD APT 35",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432041222",
"telephone_number": "614-597-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 N WILSON RD APT 35",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432041222",
"telephone_number": "614-597-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KIMBERLEY",
"name_prefix": "Ms.",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "400955920809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2793571",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.