Active NPI
Fernanda Martinez, PHD
- Rehabilitation Psychologist
- Tucson, AZ
National Provider Identifier
1023202132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 3902
- Practice address
- 1601 W Saint Marys Rd
Tucson, AZ 85745-2623 - Phone
- (520) 872-4301
- NPI assigned
- Aug 31, 2007
- Last updated
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 3902 | AZ | Primary |
Addresses
Primary practice location
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Mailing address
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-4301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3902 | AZ | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1023202132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 W SAINT MARYS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452623",
"telephone_number": "520-872-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W SAINT MARYS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452623",
"telephone_number": "520-872-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "FERNANDA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "AZ",
"license": "3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.