Individual provider Active NPI

Ruby J Martinez, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Castle Rock, CO
National Provider Identifier
1164639506
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
64068 Issued in CO
Practice address
831 S Perry St
Suite 100
Castle Rock, CO 80104-1919
Phone
(303) 688-6276
NPI assigned
May 16, 2007
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 64068 CO Primary

Addresses

Primary practice location

831 S Perry St
Suite 100
Castle Rock, CO 80104-1919

Mailing address

831 S Perry St
Suite 100
Castle Rock, CO 80104-1919
Phone (303) 688-6276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150805007946 CO Practitioner - Certified Clinical Nurse Specialist (CNS) 3476867318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
64068COMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince May 20, 2015 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince May 20, 2015 Accepting new patients

Locations

2356 Meadows Blvd
Ste 230B
Castle Rock, CO 80109

831 S Perry St
Ste 100
Castle Rock, CO 80104
Phone (303) 688-6276

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 100
Englewood, CO 80112
Phone (303) 779-9676

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

61 W Davies Ave N
Littleton, CO 80120
Phone (303) 797-9420

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventhealth ParkerParker, CO, CCN 060114 Hospital Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1164639506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 S PERRY ST",
            "address_2": "SUITE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041919",
            "telephone_number": "303-688-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S PERRY ST",
            "address_2": "SUITE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041919",
            "telephone_number": "303-688-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RUBY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CO",
            "license": "64068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.