Active NPI
Patricia Martinez
- Case Management Registered Nurse
- Tacoma, WA
National Provider Identifier
1043639776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN00174797
- Practice address
- 1708 E 44TH St
Tacoma, WA 98404-4611 - Phone
- (253) 471-4553
- Fax
- (253) 722-2184
- NPI assigned
- Apr 9, 2014
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN00174797 | WA | Primary |
Addresses
Primary practice location
1708 E 44TH St
Tacoma, WA 98404-4611
Mailing address
1708 E 44TH St
Tacoma, WA 98404-4611
Phone (253) 471-4553
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00174797 | WA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1043639776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 E 44TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044611",
"telephone_number": "253-471-4553",
"fax_number": "253-722-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 E 44TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044611",
"telephone_number": "253-471-4553",
"fax_number": "253-722-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WA",
"license": "RN00174797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.