Active NPIIndividual provider

Kevin S Martin, FNP

Nurse Practitioner, Family in Washington, District of Columbia

NPI Number1881978229
Practice location
1310 Southern Ave SE, Washington, DC 20032-4623
Fax
—
Last updated
December 8, 2023

Kevin Samuel Martin is a Nurse Practitioner, Family based in Washington, DC. Kevin Samuel Martin practices in Washington, DC and has the professional credentials of FNP. The NPI Number for Kevin Samuel Martin is 1881978229 and holds a License No. 5005307 (NC). The current practice location address for Kevin Samuel Martin is 1310 Southern Ave SE, Washington, DC 20032-4623 and can be reached out via phone at 252-933-0005.

Provider Profile Details

NPI Number
1881978229
Provider Name
Kevin Samuel Martin
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1310 Southern Ave SE, Washington, DC 20032-4623
Phone Number
252-933-0005
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2011
Last Update Date
December 8, 2023
Certification Date
December 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1310 Southern Ave SE
Washington, DC 20032-4623
Zip
20032-4623
Phone Number
252-933-0005
Washington, DC 20032Get directions →

Provider Business Mailing Address Details

Address
3710 University Dr Ste 330
Durham, NC 27707-6204
City
Durham
State
NC
Zip
27707-6204
Phone Number
252-933-0005

License Information

License Number (1)
5005307
License State (1)
NC
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
092767-23
License State (2)
NH
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin S Martin, FNP?

The NPI number of Kevin S Martin, FNP is 1881978229. It was assigned on October 4, 2011 and is currently active in the NPPES registry.

What is the specialty of Kevin S Martin, FNP?

Kevin S Martin, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NC under license number 5005307.

Where does Kevin S Martin, FNP practice?

The practice location is 1310 Southern Ave SE, Washington, DC 20032-4623. The office can be reached at 252-933-0005 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881978229 directly on the NPPES registry website.

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