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

Kristin King Martin, NP

Individual provider Family Nurse Practitioner · NPI 1568616654

Kristin King Martin, NP is a Nurse Practitioner in Gonzales, Louisiana. Qualified in 2003, 23 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
23
Licensed in
LA, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1024 E Ascension Complex Blvd
Gonzales, LA 70737-4263
Phone: (225) 765-5500
Fax: (225) 644-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17505 Jefferson Hwy, Prairieville, LA 70769-3930 — (225) 677-9547

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP05592 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN068268 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 677299 (TX)

Record details

NPI number1568616654
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 17, 2008
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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