Active NPI
Vianey Martinez, APRN
- Family Nurse Practitioner
- Pierson, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11030277
- Practice address
- 216 Frederick St
Pierson, FL 32180-3024 - Phone
- (386) 202-6025
- NPI assigned
- Feb 1, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11030277 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11030277 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11030277 | FL | Primary |
Addresses
Primary practice location
216 Frederick St
Pierson, FL 32180-3024
Mailing address
1205 S Woodland Blvd Ste 3
Deland, FL 32720-7464
Phone (386) 202-6025
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 N Frederick St
Pierson, FL 32180-3024
Phone (386) 202-6025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11030277 | FL | MD | Nurse Practitioner |
| 11030277 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Florida Health Services Inc | Current | Accepting new patients | |
| Northeast Florida Health Services, Inc. | Current | Accepting new patients |
Locations
1205 S Woodland Blvd
Ste 3
Deland, FL 32720
1205 S Woodland Blvd
Ste 4
Deland, FL 32720
Phone 3862026025 ext. 2705
1200 Deltona Blvd
Apt 40A
Deltona, FL 32725
Phone (386) 327-6006
216 Frederick St
Pierson, FL 32180
Phone (386) 749-9449
801 Beville Rd
South Daytona, FL 32119
Phone (352) 213-4295
Interoperability endpoints
- vianey.martinez@nefhs.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/JBAFBD/Endpoint/JBAFBD
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.
-
- Federally Qualified Health Center (FQHC)
- Pierson, FL
- NPI 1992792311
-
- Federally Qualified Health Center (FQHC)
- Deltona, FL
- NPI 1427605534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1073376133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 S WOODLAND BLVD STE 3",
"city": "DELAND",
"state": "FL",
"postal_code": "327207464",
"telephone_number": "386-202-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 FREDERICK ST",
"city": "PIERSON",
"state": "FL",
"postal_code": "321803024",
"telephone_number": "386-202-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "VIANEY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11030277",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11030277",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11030277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pierson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.