Keith A Martin

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1675 Meadow Bridge Rd
Meadow Bridge, WV 25976-9658

Phone

(304) 660-7620

NPI assigned

Aug 26, 2020

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1952914269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 MEADOW BRIDGE RD",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259769658",
            "telephone_number": "304-660-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MEADOW BRIDGE RD",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259769658",
            "telephone_number": "304-660-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEITH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consewella Kessler
• Heather Denise Kincaid
• Josephine G Kincaid
• Joyce Ann Lyons
• Bonnie Lou Martin
• Stanley Mathis
• Tonya Yvonnne Minor
• Denise Joyce Nitinthorn
• Tonya L Nutter
• Drema Patterson

• Personal Care Attendant in Meadow Bridge, WV
• Providers in Meadow Bridge, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.