Emalie Ann Martinez, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

304974 Issued in AZ

Practice address

950 E Main St BLDG B
Somerton, AZ 85350-7409

Phone

(928) 366-5176

NPI assigned

Mar 13, 2024

Last updated

Mar 20, 2024By 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 AZ

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1104228337
  Medicare reassignment Care Compare group NPD
• Regional Center for Border Health, Inc

  dba Family Behavioral Integrated Services

  • Multi-Specialty Clinic/Center
  • Somerton, AZ
  • NPI 1063898260
  Medicare reassignment NPD
• San Luis Walk-in Clinic, Inc.

  dba Children Integrated Care Services

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1063274868
  NPD
• San Luis Walk-in Clinic, Inc.

  dba Lake Havasu Pediatric Family Clinic

  • Rural Health Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1154051753
  NPD
• San Luis Walk-in Clinic, Inc.

  dba San Luis Urgent Care

  • Urgent Care Clinic/Center
  • San Luis, AZ
  • NPI 1144680455
  NPD (past)

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1174382154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S BARBARA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653106",
            "telephone_number": "928-246-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAIN ST BLDG B",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853507409",
            "telephone_number": "928-366-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EMALIE",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "304974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lara
• Amber Levalley, ED.S.
• Lisa Lott
• Katya Madrid
• Mark S. Plante (Main Street Physical Therapy)
• Lucila Yareth Medina Gonzalez, RN
• Leobardo Meza
• William James Michaels Jr., OTR
• Edmund M Mitchell I, MD
• Mojave Medical Transport LLC

• Psychiatric/Mental Health Nurse Practitioner in Somerton, AZ
• Providers in Somerton, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.