Individual provider Active NPI

Cathy Martin

  • Registered Nurse
  • Shawnee, KS
National Provider Identifier
1780131920
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2008021931 Issued in MO
Practice address
13509 W 67TH St
Shawnee, KS 66216-2300
Phone
(816) 335-7438
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14-106405-011 KS
Registered Nurse 163W00000X 2008021931 MO Primary

Addresses

Primary practice location

13509 W 67TH St
Shawnee, KS 66216-2300

Mailing address

13509 W 67TH St
Shawnee, KS 66216-2300
Phone (816) 335-7438

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cathy@cottagesatshawnee.com

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

LicenseStateTypeSpecialty
14-106405-011KSMDRegistered Nurse
2008021931MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health & Rehab LLC CurrentSince Oct 6, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1780131920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13509 W 67TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162300",
            "telephone_number": "816-335-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13509 W 67TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162300",
            "telephone_number": "816-335-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-106405-011",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008021931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cathy@cottagesatshawnee.com",
            "affiliation": "N",
            "address_1": "13509 W 67th St",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662162300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.