Katheryn A Martin

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1621 E Vine St
Kissimmee, FL 34744-3730

Phone

(407) 847-4152

NPI assigned

Mar 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1912583097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LAKE UNDERHILL RD APT U",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037054",
            "telephone_number": "346-899-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443730",
            "telephone_number": "407-847-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERYN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "U6229317201",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kissimmee",
            "affiliation": "N",
            "address_1": "1621 E Vine St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347443730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kissimmee",
            "affiliation": "N",
            "address_1": "1621 E Vine St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347443730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kissimmee",
            "affiliation": "N",
            "address_1": "1621 E Vine St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347443730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kissimmee",
            "affiliation": "N",
            "address_1": "1621 E Vine St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347443730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renaliz Carmen Marte I
• Miriam Martes
• Anthony N Martin Espinoza
• Lisbet Martin Estrada, BACB775372
• Juan Alberto Martin Lissabet, MD
• Michael R Martin, MD
• Shamara Martin
• Yoel Martinez Alcantara, LMT
• Liliam Martinez Alvarez, BCBA
• Aimee Carolina Martinez Arellano

• Pastoral Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.