Provider Demographics
NPI:1174589428
Name:MARTIN, TEMME L (FNP)
Entity type:Individual
Prefix:
First Name:TEMME
Middle Name:L
Last Name:MARTIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TEMME
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 HOLMES ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2640
Mailing Address - Country:US
Mailing Address - Phone:816-404-1000
Mailing Address - Fax:
Practice Address - Street 1:2301 HOLMES ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2640
Practice Address - Country:US
Practice Address - Phone:816-404-1075
Practice Address - Fax:816-404-1082
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO102671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO595956202Medicaid
MOP01157151OtherRAILROAD MEDICARE
MO595956400Medicaid
34604027OtherBCBS
MO595985805Medicaid
MO010568509Medicaid
MO427226303Medicaid
MO599225901Medicaid
MO540568508Medicaid
MO595956103Medicaid
MO595956202Medicaid
268578Medicare Oscar/Certification
MOP01157151OtherRAILROAD MEDICARE
MO427226303Medicaid
MO599225901Medicaid
268549Medicare Oscar/Certification
MOY36000010Medicare PIN
261320Medicare PIN
Q02941Medicare UPIN