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KDEDRA MARTIN
NPI 1124508262
Peer Specialist in Oklahoma City, OK

Active since August 17, 2018
5517 EVANBROOK TERRACE, OKLAHOMA CITY, OK 73135(405) 738-8662 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 27, 2019, Aug 17, 2018 (2 updates tracked since 2018).

About Kdedra Martin NPPES

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

KDEDRA MARTIN (NPI 1124508262) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1124508262
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKDEDRA MARTIN
Location Address5517 EVANBROOK TERRACEOklahoma City, OK 73135-1523
Mailing Address4400 N Lincoln BlvdOklahoma City, OK 73105-5104 · (405) 425-0364
Phone(405) 738-8662
Sole ProprietorNo
Enumeration DateAugust 17, 2018
Last NPPES UpdateFebruary 27, 20192 updates tracked since enumeration
✔ NPI 1124508262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5517 EVANBROOK TERRACE, Oklahoma City, OK 73135
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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 Kdedra Martin's NPI number?

The NPI number for Kdedra Martin is 1124508262. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Where is Kdedra Martin located?

Kdedra Martin practices at 5517 Evanbrook Terrace, Oklahoma City, OK 73135. The listed phone number is (405) 738-8662.

What is Kdedra Martin's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kdedra Martin was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.