Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen M Martin, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1649788746

Kathleen M Martin, CNP is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2017, 9 years ago. Practices with Southwest General Medical Group Inc, a 235-clinician group. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

18697 Bagley Rd
Cleveland, OH 44130-3417
Phone: (440) 816-4100
Fax: (440) 816-5719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.022044 (OH)

Record details

NPI number1649788746
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southwest General Medical Group Inc — 235 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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