Julie Elisabeth Martin, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP135967 Issued in TX

Practice address

5019 Portico Way
Midland, TX 79707-3102

Phone

(432) 242-0540

Fax

(432) 242-0541

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.martin.1@23308.direct.athenahealth.com

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.

• Privia Medical Group West Texas, PLLC

  dba Abilene Diagnostic Clinic, PLLC

  • Specialist
  • Abilene, TX
  • NPI 1346242567
  Medicare reassignment NPD
• Privia Medical Group West Texas, PLLC

  dba Abilene Diagnostic Clinics

  • Podiatrist
  • Abilene, TX
  • NPI 1043725062
  NPD
• Privia Medical Group West Texas, PLLC

  • Pathology Specialist/Technologist
  • Abilene, TX
  • NPI 1760482665
  NPD (past)
• Tareq Hulali, M.D., LP

  dba Kids Kare Pediatrics

  • Pediatrics Physician
  • Midland, TX
  • NPI 1124460944
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1164937736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 NORTH COUNTY ROAD 1152",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79705",
            "telephone_number": "972-921-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 PORTICO WAY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073102",
            "telephone_number": "432-242-0540",
            "fax_number": "432-242-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JULIE",
        "middle_name": "ELISABETH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP135967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita D'Aubrey Marshall, RN, FNP-C
• Marta Willoughby MD PA
• Martha Ramos, PLLC
• Brian N. Martin
• Gina Adams Martin, LPC
• Bertha Martinez Nunez, FNP-C
• Elidanis Martinez Rodriguez
• Alma Veronica Martinez
• Guadalupe Linda Martinez, RN
• Maria Fernanda Martinez

• Pediatric Nurse Practitioner in Midland, TX
• Providers in Midland, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.