TABATHA SUE MARTIN LPN
NPI 1407622608
Licensed Vocational Nurse in Maxwelton, WV

Q: What is Tabatha Martin's NPI number?

The NPI number for Tabatha Martin is 1407622608. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Q: What is Tabatha Martin's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Tabatha Martin was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 29, 2023

804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957(304) 497-0500(304) 497-0516 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tabatha Sue Martin Lpn NPPES

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

TABATHA SUE MARTIN LPN (NPI 1407622608) is an individual licensed vocational nurse in Maxwelton, West Virginia, licensed in West Virginia (32488) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1407622608

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameTABATHA SUE MARTINCredential: LPN

Location Address804 INDUSTRIAL PARK RDMaxwelton, WV 24957-8066

Mailing Address804 Industrial Park RdMaxwelton, WV 24957-8066 · (304) 497-0500 · Fax (304) 497-0516

Phone(304) 497-0500

Fax(304) 497-0516

Sole ProprietorNo

Enumeration DateNovember 29, 2023

NPPES CertifiedNovember 29, 2023

✔ NPI 1407622608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in WV · 32488

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

804 INDUSTRIAL PARK RD, Maxwelton, WV 24957

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Other Providers at the Same Location NPPES 20

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

SARAH BOSTIC

Day Training/Habilitation Specialist