Individual provider Active NPI

Arleny Martinez Vazquez

  • Family Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1235863788
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019473 Issued in FL
Practice address
6803 Lake Worth Rd
Greenacres, FL 33467-2979
Phone
(561) 766-2181
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019473 FL Primary

Addresses

Primary practice location

6803 Lake Worth Rd
Greenacres, FL 33467-2979

Mailing address

1630 Forest Lakes Cir Apt B
West Palm Beach, FL 33406-5783
Phone (305) 342-9089

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

LicenseStateTypeSpecialty
11019473FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1235863788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 FOREST LAKES CIR APT B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065783",
            "telephone_number": "305-342-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-766-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ VAZQUEZ",
        "first_name": "ARLENY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.