Individual provider Active NPI

Dinorah Martinez-Anderson, FNP-C

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1033493010
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
601522 Issued in TX
Practice address
1001 E University Ave
Southwestern University Health Services
Georgetown, TX 78626-6100
Phone
(512) 863-1252
Fax
(512) 863-1814
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 601522 TX Primary

Addresses

Primary practice location

1001 E University Ave
Southwestern University Health Services
Georgetown, TX 78626-6100

Mailing address

1555 University Blvd
Texas State University Student Health Center
Round Rock, TX 78665
Phone (512) 245-2161

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
601522TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas State University Student Health Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1033493010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 UNIVERSITY BLVD",
            "address_2": "TEXAS STATE UNIVERSITY STUDENT HEALTH CENTER",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-245-2161",
            "fax_number": "512-245-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E UNIVERSITY AVE",
            "address_2": "SOUTHWESTERN UNIVERSITY HEALTH SERVICES",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266100",
            "telephone_number": "512-863-1252",
            "fax_number": "512-863-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-ANDERSON",
        "first_name": "DINORAH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "601522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.