Marcy Olivia Martinez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

746212 Issued in TX

Practice address

2501 Jimmy Johnson Blvd.
Suite 501
Port Arthur, TX 77640-2013

Phone

(409) 729-2555

Fax

(409) 729-2604

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By 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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22304/brand/1/csg/1/fhir/r4

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.

• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment NPD
• Neches Clinic PLLC

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1447629415
  NPD (past)
• Permian Premier Health Services, Inc

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548031552
  NPD (past)
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1770830606
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1184976748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD.",
            "address_2": "SUITE 501",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-729-2555",
            "fax_number": "409-729-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD.",
            "address_2": "SUITE 501",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-729-2555",
            "fax_number": "409-729-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARCY",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "746212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Tan Medical Group LTD LLP (The Childrens Health Center)
• Roy R Marrero Jr., MD
• Marsha E. Thigpen, MD
• Martin Martin & Associates PA
• Fe M Martin, M.D.
• Masterpath Pathology Consultants (Masterpath Laboratory)
• Masterpath Pathology Consultants, P.a.
• Matresa Wooding LCSW PLLC
• Deborah Kay May, CFNP
• Angela A McCall, MASSAGE THERAPIST

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.