MARY KATHLEEN MARTIN CRNA
NPI 1669444956
Nurse Anesthetist, Certified Registered in St Augustine, FL

Active since February 02, 2006
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(904) 819-4478 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Kathleen Martin Crna NPPES

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

MARY KATHLEEN MARTIN CRNA (NPI 1669444956) is an individual nurse anesthetist, certified registered in St Augustine, Florida, licensed in Florida (ARNP2230802) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1669444956
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY KATHLEEN MARTINCredential: CRNA
Location Address400 HEALTH PARK BLVDSt Augustine, FL 32086-5784
Mailing Address1605 Lakes PkwyLawrenceville, GA 30043-5858 · (904) 819-4478 · Fax (904) 819-4993
Sole ProprietorYes
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1669444956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in FL · ARNP2230802
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

400 HEALTH PARK BLVD, St Augustine, FL 32086

Other Identifiers 2

Medicare ID-Type UnspecifiedPENDINGFL
Medicaid302528400FL

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.

Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086
Radiology (Vascular & Interventional Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
ST AUGUSTINE, FL 32086
Physician Assistant (Medical)
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Emergency Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Emergency Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Anesthesiology
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669444956, enumerated as an "individual" on February 02, 2006.

The provider is located at 400 HEALTH PARK BLVD ST AUGUSTINE, FL 32086 and the phone number is (904) 819-4478.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.