Individual provider Active NPI

Maria Martinez, DNP MSNFNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1255987004
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142752 Issued in TX
Practice address
1425 S Moore Rd Ste C
Chattanooga, TN 37412-2836
Phone
(423) 287-6805
Fax
(423) 287-6806
NPI assigned
Aug 16, 2019
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 AP142752 TX Primary

Addresses

Primary practice location

1425 S Moore Rd Ste C
Chattanooga, TN 37412-2836

Mailing address

207 Central Dr
Chattanooga, TN 37421-5107
Phone (832) 867-0760

Other practice location 1

5700 Highway 6 N Ste 150
Houston, TX 77084-2697
Phone (832) 427-6607

Other practice location 2

18314 Fair Grange Ln
Cypress, TX 77433-6560
Phone (832) 867-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220810003817 TX Practitioner - Nurse Practitioner 7719360593
I20240827004370 TN Practitioner - Nurse Practitioner 7719360593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142752TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
ML Primary Care PLLC Family CurrentSince Jul 23, 2024 Accepting new patients

Locations

1425 S Moore Rd
Ste C
Chattanooga, TN 37412
Phone (423) 287-6805

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

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1255987004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CENTRAL DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374215107",
            "telephone_number": "832-867-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S MOORE RD STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122836",
            "telephone_number": "423-287-6805",
            "fax_number": "423-287-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Highway 6 N Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770842697",
            "country_code": "US",
            "telephone_number": "832-427-6607",
            "fax_number": "832-427-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18314 Fair Grange Ln",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774336560",
            "country_code": "US",
            "telephone_number": "832-867-0760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIA",
        "credential": "DNP MSNFNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.