Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY RAE MARTIN
NPI 1477117885
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Miltona, MN

Q: What is Kelly Martin's NPI number?

The NPI number for Kelly Martin is 1477117885. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Kelly Martin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Martin was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 May 01, 2019

13881 SCHUELKE BEACH RD NW, MILTONA, MN 56354(218) 639-1843 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, May 1, 2019 (2 updates tracked since 2019).

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About Kelly Rae Martin NPPES

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

KELLY RAE MARTIN (NPI 1477117885) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Miltona, Minnesota and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1477117885

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameKELLY RAE MARTIN

Location Address13881 SCHUELKE BEACH RD NWMiltona, MN 56354

Mailing Address13881 Schuelke Beach Rd NwMiltona, MN 56354-8300 · (218) 639-1843

Phone(218) 639-1843

Sole ProprietorYes

Enumeration DateMay 1, 2019

Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration

✔ NPI 1477117885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

13881 SCHUELKE BEACH RD NW, Miltona, MN 56354

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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 Kelly Martin's NPI number?

The NPI number for Kelly Martin is 1477117885. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Kelly Martin located?

Kelly Martin practices at 13881 Schuelke Beach Rd NW, Miltona, MN 56354. The listed phone number is (218) 639-1843.

What is Kelly Martin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kelly Martin was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.