MS. STACY D MARTIN CRNP
NPI 1992763569
Nurse Practitioner - Pediatrics in Scottsville, KY

Q: What is Stacy Martin's NPI number?

The NPI number for Stacy Martin is 1992763569. It was assigned to this individual provider in the NPPES registry on May 3, 2006. The provider is also known as Ms. Stacy Martin Crnp/Arnp.

Q: What is Stacy Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Martin was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 03, 2006

1566 PEA RIDGE RD, SCOTTSVILLE, KY 42164(928) 266-7022 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Stacy D Martin Crnp NPPES

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

MS. STACY D MARTIN CRNP (NPI 1992763569) is an individual pediatrics provider in Scottsville, Kentucky, licensed in Arizona (RN134146) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1992763569

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. STACY D MARTINCredential: CRNP

Location Address1566 PEA RIDGE RDScottsville, KY 42164-7702

Mailing Address1566 Pea Ridge RdScottsville, KY 42164-7702 · (928) 266-7022

Phone(928) 266-7022

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJanuary 17, 2011

✔ NPI 1992763569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · RN134146

Also ListedNurse PractitionerTaxonomy 363L00000X · License 134146 (AZ)

1566 PEA RIDGE RD, Scottsville, KY 42164

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Other Names 1

Professional Name (2)Ms. Stacy Martin Crnp/arnp

Other Identifiers 1

Medicare UPINP85091

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 Stacy Martin's NPI number?

The NPI number for Stacy Martin is 1992763569. It was assigned to this individual provider in the NPPES registry on May 3, 2006. The provider is also known as Ms. Stacy Martin Crnp/Arnp.

Where is Stacy Martin located?

Stacy Martin practices at 1566 Pea Ridge Rd, Scottsville, KY 42164. The listed phone number is (928) 266-7022.

What is Stacy Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Stacy Martin was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.