Active NPI
Trevor Martinez, RN, MSN, CRNA
- Certified Registered Nurse Anesthetist
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024183353
- Practice address
- 1901 Tate Springs Rd
Lynchburg, VA 24501-1109 - Phone
- (434) 200-3777
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001308001 | VA | |
| Registered Nurse | 163W00000X | 318587 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024183353 | VA | Primary |
Addresses
Primary practice location
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Mailing address
1638 Garden Ter
Charlotte, NC 28203-5836
Phone (480) 868-6834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4367
Phone (540) 345-0289
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318587 | NC | MD | Registered Nurse |
| 0001308001 | VA | MD | Registered Nurse |
| 0024183353 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acv Inc | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Anesthesiology Consultants of Virginia, Inc | Past | Accepting new patients |
Locations
1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1881927259
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1043882756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 GARDEN TER",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035836",
"telephone_number": "480-868-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 TATE SPRINGS RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011109",
"telephone_number": "434-200-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TREVOR",
"credential": "RN, MSN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2022-01-11",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001308001",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "318587",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024183353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.