Active NPI
Jessica Martinez
- Registered Nurse
- Broomfield, CO
National Provider Identifier
1104460211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.1633648
- Practice address
- 1518 Cedar St
Broomfield, CO 80020-1331 - Phone
- (480) 635-6025
- NPI assigned
- Oct 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.1633648 | CO | Primary |
Addresses
Primary practice location
1518 Cedar St
Broomfield, CO 80020-1331
Mailing address
1518 Cedar St
Broomfield, CO 80020-1331
Other names 1
- Mrs. Jessica Martinez
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 |
|---|---|---|---|
| RN.1633648 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1104460211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 CEDAR ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 CEDAR ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201331",
"telephone_number": "480-635-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1633648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MARTINEZ",
"prefix": "MRS.",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.