Kurishia Martin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

52273 Issued in SC

Practice address

121 Monroe St
Anderson, SC 29624-1409

Phone

(864) 353-3753

NPI assigned

Nov 4, 2020

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1952902082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MONROE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296241409",
            "telephone_number": "864-353-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MONROE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296241409",
            "telephone_number": "864-353-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KURISHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "52273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "199029762",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martinkl1@ghec.sc.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Monroe St",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296241409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clara G. Martin
• Emily Julianne Martin
• Ernest Cleage Martin, M.D.
• Fredericka Martin, LPN
• Heather Michelle Martin, NP-C
• Laquana N Martin, BSW
• Michael Lee Martin Sr., M.D.
• Spantammie D Martin
• Susan Thrasher Martin, M.D.
• Thomas Foster Martin Jr., C.P.O

• Licensed Practical Nurse in Anderson, SC
• Providers in Anderson, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.