AVERY JEA MARTIN
NPI 1053967653
Nurse Practitioner in Crittenden, KY

Active since August 11, 2019
405 VIOLET RD, CRITTENDEN, KY 41030(859) 428-1610(859) 428-3923 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Aug 11, 2019 (2 updates tracked since 2019).

About Avery Jea Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY JEA MARTIN (NPI 1053967653) is an individual nurse practitioner in Crittenden, Kentucky, licensed in Kentucky (3013651) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1053967653
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAVERY JEA MARTIN
Location Address405 VIOLET RDCrittenden, KY 41030-8956
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283
Fax(859) 428-3923
Sole ProprietorNo
Enumeration DateAugust 11, 2019
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1053967653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in KY · 3013651 Licensed in OH · APRN.CNP.024869
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
405 VIOLET RD, Crittenden, KY 41030

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Physician Assistant
405 VIOLET RD
CRITTENDEN, KY 41030
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Emergency Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Martin's NPI number?

The NPI number for Avery Martin is 1053967653. It was assigned to this individual provider in the NPPES registry on August 11, 2019.

Where is Avery Martin located?

Avery Martin practices at 405 Violet Rd, Crittenden, KY 41030. The listed phone number is (859) 428-1610.

What is Avery Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Avery Martin was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.