Wanda Eloisa Martinez, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

642487 Issued in TX

Practice address

31St & Battelion Ave
Bennett Health Clinic BLD #420
Ft Hood, TX 76544-4752

Phone

(254) 618-8067

Fax

(254) 618-8099

NPI assigned

Jun 27, 2006

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1134156078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-618-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31ST & BATTELION AVE",
            "address_2": "BENNETT HEALTH CLINIC BLD #420",
            "city": "FT HOOD",
            "state": "TX",
            "postal_code": "765444752",
            "telephone_number": "254-618-8067",
            "fax_number": "254-618-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "WANDA",
        "middle_name": "ELOISA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "642487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lynn Martin, CRNA
• Tyler Louis Martin, LCSW
• Lawrence Michael Martinek, MD
• Magaly Yaneli Martinez Romo
• Kirsten Lynn Martinez, LVN
• Chloe Morgan Martini
• Rashell Mascardo
• David Arthur Masneri, DO
• Robert E Masterson, DDS
• Lawrence Nicholas Masullo, MD

• Case Management Registered Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Case Management Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.