Individual provider Active NPI

Kris Marie Martin, CSA

  • Surgical Assistant
  • Nashville, TN
National Provider Identifier
1982695607
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
2000 Glen Echo Rd Ste 111
Nashville, TN 37215-2857
Phone
(954) 791-6146
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

2000 Glen Echo Rd Ste 111
Nashville, TN 37215-2857

Mailing address

7344 Cumberland Cir
Florence, KY 41042-8282
Phone (859) 746-1411

Other names 1

  • Mrs. Kris Maried Beasley Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ap of Nashville, LLC CurrentSince Nov 20, 2022 Accepting new patients
Florida Practitioners, LLC PastSince Nov 20, 2022 Accepting new patients

Locations

2000 Glen Echo Rd
Ste 111
Nashville, TN 37215
Phone (615) 657-4800

Organizations & group practices 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1982695607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7344 CUMBERLAND CIR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428282",
            "telephone_number": "859-746-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLEN ECHO RD STE 111",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152857",
            "telephone_number": "954-791-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KRIS",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "BEASLEY",
            "middle_name": "MARIED",
            "prefix": "MRS.",
            "credential": "C.S.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.