Kaitlyn Martin, DO, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

KAITLYN MARTIN, DO, PC

Practice address

161 Shirley Dr
Winchester, TN 37398-2256

Phone

(931) 962-0450

Fax

(931) 962-0470

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Kaitlyn Martin, DO

Title

Owner

Phone

(931) 962-0405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1760156871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-962-0450",
            "fax_number": "931-962-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-962-0450",
            "fax_number": "931-962-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLYN MARTIN, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-962-0405",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Renee Jacobs, OWNER/OPERATOR DOT
• Cynthia Janke, LCSW
• Saharra D Jewell, APN
• Deborah K Jolleywatson, D.PH.
• K -VA -T Food Stores Inc
• Leah Wilson Keith, NP
• Sara Keller, SLP-CCC
• Fancy Marie Kilgore, LADAC II
• Jennifer Brooke Kilgore, PHARMD
• Candice Marie Kinney, FNP

• All providers in Winchester, TN
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.