Carmen Martell Koenig, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP17317 Issued in CA

Practice address

1275 E Spruce Ave Ste 103
Fresno, CA 93720-3372

Phone

(559) 432-0716

Fax

(559) 432-4545

NPI assigned

Jan 27, 2009

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

• Carmen Martell Zuniga Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1164660353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203372",
            "telephone_number": "559-432-0716",
            "fax_number": "559-261-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203372",
            "telephone_number": "559-432-0716",
            "fax_number": "559-432-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "CARMEN",
        "middle_name": "MARTELL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP17317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "ZUNIGA",
            "middle_name": "MARTELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefani Koda, LCSW
• Nikitha Kodali, MD
• Clayton Tatsuo Kodama, DDS
• Kevin Takao Kodama, M.D.
• Kathalene Kae Kodman
• Mohammad Kofahi
• Richard Koff, M.D.
• Koinonia Foster Homes Inc
• Georgiana Akan Koko, NP
• Aravinda Reddy Kolan, M.D.

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.