Individual provider Active NPI

Bertha Martinez Nunez, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1104596360
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1040085 Issued in TX
Practice address
3415 N Loop 250 W BLDG 4
Midland, TX 79707-6034
Phone
(432) 221-3300
Fax
(432) 221-3313
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 1040085 TX Primary

Addresses

Primary practice location

3415 N Loop 250 W BLDG 4
Midland, TX 79707-6034

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6605

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BERTHA.MARTINEZ.1@3522.DIRECT.ATHENA.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211116002210 TX Practitioner - Nurse Practitioner 5092104844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District Current Accepting new patients
Ector County Hospital District CurrentSince Jul 1, 2022 Accepting new patients
Ector County Hospital District CurrentSince Jul 1, 2022 Accepting new patients

Locations

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

3001 John Ben Shepperd Pkwy
Ste 100
Odessa, TX 79762
Phone (432) 640-6772

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

840 W Clements St
Odessa, TX 79763
Phone (432) 333-3888

Interoperability endpoints

  • Direct secure messaging: bertha.martinez.1@3522.direct.athena.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1104596360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-686-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 N LOOP 250 W BLDG 4",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076034",
            "telephone_number": "432-221-3300",
            "fax_number": "432-221-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ NUNEZ",
        "first_name": "BERTHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1040085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BERTHA.MARTINEZ.1@3522.DIRECT.ATHENA.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3415 N Loop 250 W Bldg 4",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797076034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.