Katrina Martinez, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Moseley, VA
NPI 1013307149 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1013307149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60691531 (WA)
- Practice address
- 11913 Black Alder Dr
Moseley, VA 23120-1582 - Phone
- (619) 241-0333
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616002 | CA | MD | Registered Nurse |
| AP60691531 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 616002 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60691531 | WA | Yes |
Addresses
Primary practice location
11913 Black Alder Dr
Moseley, VA 23120-1582
Mailing address
700 24TH St
Fort Lee, VA 23801-1716
Other providers in Moseley, VA
- Cathy Kirk
- Sheeja Mole Kolencherry Augustine
- M3 Group Services, LLC
- Maa Home Care LLC
- Cindy Yvonne Martinez-Kilgo
- Lauren Meade
- Metro King Transportation LLC
- Rebecca Lynne Migliaccio
- Altory Musni Miranda Jr.
- Sarah Monahan
All providers in Moseley, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.