Active NPI
Elizabeth Anne Martinez, P.A.-C
- Physician Assistant
- Taos, NM
National Provider Identifier
1275681306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 78-PA006
- Practice address
- 1400 Weimer Rd
Taos, NM 87571-6346 - Phone
- (505) 758-2073
- Fax
- (505) 751-3031
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 78-PA006 | NM | Primary |
Addresses
Primary practice location
1400 Weimer Rd
Taos, NM 87571-6346
Mailing address
PO Box 670
Ranchos de Taos, NM 87557-0670
Phone (505) 758-1970
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 |
|---|---|---|---|
| 78-PA006 | NM | MD | Physician Assistant |
Interoperability endpoints
- elizabeth.martinez.1@24989.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275681306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "RANCHOS DE TAOS",
"state": "NM",
"postal_code": "875570670",
"telephone_number": "505-758-1970",
"fax_number": "505-751-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716346",
"telephone_number": "505-758-2073",
"fax_number": "505-751-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "78-PA006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.