Individual provider Active NPI

Humberto Martinez

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1154962462
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057389 Issued in TX
Practice address
110 W Southmore Ave
Pasadena, TX 77502-1002
Phone
(832) 582-5153
Fax
(832) 582-5154
NPI assigned
Oct 8, 2019
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 973433 TX
Family Nurse Practitioner 363LF0000X 1057389 TX Primary

Addresses

Primary practice location

110 W Southmore Ave
Pasadena, TX 77502-1002

Mailing address

110 W Southmore Ave
Pasadena, TX 77502-1002
Phone (832) 582-5153

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
I20220209001116 TX Practitioner - Nurse Practitioner 4082007364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 W Southmore Ave
Pasadena, TX 77502-1002
Phone (832) 582-5153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
973433TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
H&R Integral Health Care LLC Family CurrentSince Nov 10, 2022 Accepting new patients
Clinica Familiar Dickinson, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

4913 FM 517 Rd E
Dickinson, TX 77539
Phone (832) 340-5951

110 W Southmore Ave
Pasadena, TX 77502
Phone (832) 340-7951

Organizations & group practices 2

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1154962462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021002",
            "telephone_number": "832-582-5153",
            "fax_number": "832-582-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021002",
            "telephone_number": "832-582-5153",
            "fax_number": "832-582-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "HUMBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "973433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.