Individual provider Active NPI

Martin Cortes Nobleza

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1083177661
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142458 Issued in TX
Practice address
6901 Bertner Ave
Houston, TX 77030-3901
Phone
(713) 500-2100
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 782258 TX
Family Nurse Practitioner 363LF0000X AP142458 TX Primary

Addresses

Primary practice location

6901 Bertner Ave
Houston, TX 77030-3901

Mailing address

13619 Lynx CT
Houston, TX 77014-2821
Phone (281) 444-3317

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

LicenseStateTypeSpecialty
782258TXMDRegistered Nurse
AP142458TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1083177661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 LYNX CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142821",
            "telephone_number": "281-444-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303901",
            "telephone_number": "713-500-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLEZA",
        "first_name": "MARTIN",
        "middle_name": "CORTES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "782258",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.