Active NPI
Angie Carolina Carreno Martinez, MD
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1144900655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2023016763
- Practice address
- 1 Childrens PL
Saint Louis, MO 63110-1081 - Phone
- (314) 906-2515
- NPI assigned
- Jul 19, 2023
- Last updated
- Jul 19, 2023
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2023016763 | MO | Primary |
Addresses
Primary practice location
1 Childrens PL
Saint Louis, MO 63110-1081
Mailing address
4441 Chouteau Ave Apt 3315
Saint Louis, MO 63110-1694
Phone (407) 369-3302
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023016763 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1144900655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 CHOUTEAU AVE APT 3315",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101694",
"telephone_number": "407-369-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101081",
"telephone_number": "314-906-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRENO MARTINEZ",
"first_name": "ANGIE",
"middle_name": "CAROLINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2023016763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Sarah Elizabeth Carr, M.D.
- Triana Annette-Joyce Carr
- Arturo Roman Carranza Morales, MD
- Brianna Carraro, MSW
- Craig R Carrell, PHARMD
- Kristen T Carrico, THERAPIST
- Carrie Elligson Gietner Health Care Center, L.L.C. (Carrie Elligson Gietner Health Care Center)
- Carrie's Caring in-Home Health Care Inc.
- Carries CDS Home Health Services LLC
- Carries in Home Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.