Mirtza Martinez Small, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224799 Issued in LA

Practice address

501 Robert Blvd
Slidell, LA 70458-1667

Phone

(866) 530-6111

NPI assigned

Apr 13, 2022

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

Other names 1

• Mirtza Martinez Other name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Health LouisianaGroup PAC ID 3678484276, shared by 50 NPIs, 42 clinicians

Marillac Community Health CentersGroup PAC ID 3678755535, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment Care Compare group NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Harvey, LA
  • NPI 1720512247
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1093249518
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Metairie, LA
  • NPI 1629329735
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1164164661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581667",
            "telephone_number": "866-530-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Westbank Expy",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700535616",
            "country_code": "US",
            "telephone_number": "504-364-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "MIRTZA",
        "middle_name": "MARTINEZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRTZA",
            "last_name": "MARTINEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Slidell Memorial Hospital Neurosurgery Billing of SMH
• Slidell Optics Inc
• Slidell Pharmacy LLC
• Slidell Specialty Hospital LP
• P. Douglas Slocum, M.D.
• Shcandtel Smallwood
• SMH Professional Serv at SMH
• Eshantti Kayafai Smith-Trask, MSW,RSW
• Alicia Nicole Smith, DC
• Andra Gloria Smith, MS CTRS

• Family Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.