Individual provider Active NPI

Jamie Renee Martinez, ARNP

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1073096236
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9319924 Issued in FL
Practice address
3370 Burns Rd Ste 106
Palm Beach Gardens, FL 33410-4327
Phone
(561) 775-0335
Fax
(561) 775-9492
NPI assigned
Sep 12, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 ARNP9319924 FL Primary

Addresses

Primary practice location

3370 Burns Rd Ste 106
Palm Beach Gardens, FL 33410-4327

Mailing address

3370 Burns Rd Ste 106
Palm Beach Gardens, FL 33410-4327
Phone (561) 775-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429000949 FL Practitioner - Nurse Practitioner 9032451786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gator Medical Health IncGroup PAC ID 4880980416, 3 clinicians
Javier J. Canasi, M.D.,P.a.Group PAC ID 8628030442, 2 clinicians

Practice addresses (Care Compare)

900 Village Square Xing
Suite 130
Palm Beach Gardens, FL 33410-4547
Phone (561) 775-0335

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9319924FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gator Medical Health Inc CurrentSince Oct 7, 2022 Accepting new patients
Javier J. Canasi, M.D.,P.a. CurrentSince Mar 16, 2019 Accepting new patients

Locations

3370 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 622-3875

900 Village Square Xing
Ste 130
Palm Beach Gardens, FL 33410
Phone (561) 775-0335

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFACA/Endpoint/EEFACA

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1073096236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-775-0335",
            "fax_number": "561-775-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-775-0335",
            "fax_number": "561-775-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9319924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.