Individual provider Active NPI

Vianey Martinez, APRN

  • Family Nurse Practitioner
  • Pierson, FL
National Provider Identifier
1073376133
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030277 Issued in FL
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

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002164 FL Practitioner - Nurse Practitioner 1557708666 Reassigns benefits to 1 organization

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
Northeast Florida Health Services, IncGroup PAC ID 0547249518, 9 clinicians

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

LicenseStateTypeSpecialty
APRN11030277FLMDNurse Practitioner
11030277FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Health Services Inc CurrentSince Apr 2, 2024 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

  • Direct secure messaging: vianey.martinez@nefhs.eclinicaldirectplus.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.