Individual provider Active NPI

Martha M. Snow, MSN, PMHCNS-BC, CARN

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1255486759
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R 24635 Issued in NM
Practice address
3939 San Pedro Dr NE BLDG D1
Albuquerque, NM 87110-8905
Phone
(505) 217-1717
Fax
(505) 213-0041
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R24635 NM
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R24635 NM
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X R 24635 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R 24635 NM Primary

Addresses

Primary practice location

3939 San Pedro Dr NE BLDG D1
Albuquerque, NM 87110-8905

Mailing address

9201 Montgomery Blvd NE Ste V
Albuquerque, NM 87111-2470
Phone (505) 217-1717

Other practice location 1

9201 Montgomery Blvd NE Ste V
Albuquerque, NM 87111-2470
Phone (505) 217-1717

Other identifiers 1

IdentifierTypeStateIssuer
40483738MedicaidNM

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R24635NMMDAdult Psychiatric/Mental Health Registered Nurse
R 24635NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Recovery Center, Inc. CurrentSince Mar 19, 2023 Accepting new patients

Locations

3939 San Pedro Dr NE
Bldg D1
Albuquerque, NM 87110
Phone (505) 217-1717

9201 Montgomery Blvd NE
Ste V
Albuquerque, NM 87111
Phone (505) 217-1717

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1255486759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE STE V",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112470",
            "telephone_number": "505-217-1717",
            "fax_number": "505-213-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE BLDG D1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108905",
            "telephone_number": "505-217-1717",
            "fax_number": "505-213-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 Montgomery Blvd NE Ste V",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112470",
            "country_code": "US",
            "telephone_number": "505-217-1717",
            "fax_number": "505-213-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "MARTHA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSN, PMHCNS-BC, CARN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R24635",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R24635",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "R 24635",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "R 24635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40483738",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.