Active NPI
Mary Martinez, RRT
- Critical Care Registered Respiratory Therapist
- North Little Rock, AR
National Provider Identifier
1225450240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- RCP-2630
- Practice address
- 1820 W 36TH St
North Little Rock, AR 72118-4719 - Phone
- (501) 944-7390
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | RCP-2630 | AR | Primary |
| Critical Care Registered Respiratory Therapist | 2279C0205X | 65404 | TX | |
| Critical Care Registered Respiratory Therapist | 2279C0205X | 29364 | CA |
Addresses
Primary practice location
1820 W 36TH St
North Little Rock, AR 72118-4719
Mailing address
1820 W 36TH St
North Little Rock, AR 72118-4719
Phone (501) 944-7390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCP-2630 | AR | MD | Critical Care Registered Respiratory Therapist |
| 29364 | CA | MD | Critical Care Registered Respiratory Therapist |
| 65404 | TX | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1225450240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 W 36TH ST",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721184719",
"telephone_number": "501-944-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 W 36TH ST",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721184719",
"telephone_number": "501-944-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARY",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "AR",
"license": "RCP-2630",
"primary": true
},
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "TX",
"license": "65404",
"primary": false
},
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "CA",
"license": "29364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.