Active NPI
Kori Dawn Martinez, APRN-FNP
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1053972158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 56734
- Practice address
- 2301 Yale Blvd SE Ste D3
Albuquerque, NM 87106-4355 - Phone
- (505) 842-4433
- Fax
- (505) 842-4436
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 56734 | NM | Primary |
Addresses
Primary practice location
2301 Yale Blvd SE Ste D3
Albuquerque, NM 87106-4355
Mailing address
2301 Yale Blvd SE Ste D3
Albuquerque, NM 87106-4355
Phone (505) 842-4433
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 |
|---|---|---|---|
| 56734 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Flight Air Ambulance Inc | Past | Accepting new patients | |
| Kori Martinez FNP, LLC. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1508457409
-
- Air Ambulance
- Albuquerque, NM
- NPI 1952307126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1053972158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE STE D3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064355",
"telephone_number": "505-842-4433",
"fax_number": "505-842-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE STE D3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064355",
"telephone_number": "505-842-4433",
"fax_number": "505-842-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "KORI",
"middle_name": "DAWN",
"credential": "APRN-FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "56734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.