Becky Martinez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

121 S 4TH St
Thermopolis, WY 82443-2634

Phone

(307) 864-3138

NPI assigned

Dec 6, 2011

Last updated

Jul 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1033487939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432634",
            "telephone_number": "307-864-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432634",
            "telephone_number": "307-864-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "BECKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108969204",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108969205",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132368700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Livingood
• Thomas Larry Lynch
• Joy Lynn Magruder, MD
• Kevin Robert Mahoney, M.D.
• Jantina Anna Manning, M.S., CCC-SLP
• Mattson Mathey, M.D.
• Dana Michele McDermott, O.D.
• Tina McGinty
• Ashle Rhea McLean
• Cynthea Bronson Mikkelsen

• Community Health Worker in Thermopolis, WY
• Providers in Thermopolis, WY by specialty
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.