Individual provider Active NPI

Timothy Martin, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1003638545
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
884137 Issued in NV
Practice address
245 Sweet Spot St
Henderson, NV 89074-7633
Phone
(702) 324-7702
NPI assigned
Oct 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 884137 NV Primary

Addresses

Primary practice location

245 Sweet Spot St
Henderson, NV 89074-7633

Mailing address

245 Sweet Spot St
Henderson, NV 89074-7633
Phone (702) 324-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507000346 NV Practitioner - Nurse Practitioner 0244757979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3175 E Warm Springs Rd
Suite 131
Las Vegas, NV 89120-3138
Phone (702) 983-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
884137NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Care Psychiatry LLC Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients

Locations

170 S Green Valley Pkwy
Ste 329
Henderson, NV 89012

3175 E Warm Springs Rd
Ste 131
Las Vegas, NV 89120
Phone (702) 353-0392

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1003638545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SWEET SPOT ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747633",
            "telephone_number": "702-324-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SWEET SPOT ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747633",
            "telephone_number": "702-324-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "884137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.