Active NPI
Adrienne Nicole Martin, PA-C
- Physician Assistant
- Alamogordo, NM
National Provider Identifier
1285097774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2016-0010
- Practice address
- 1501 E 10TH Street,
PMS-Alamogordo Family Health Center
Alamogordo, NM 88310 - Phone
- (575) 434-2960
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 | PA2016-0010 | NM | Primary |
Addresses
Primary practice location
1501 E 10TH Street,
PMS-Alamogordo Family Health Center
Alamogordo, NM 88310
Mailing address
100 Crews Ave
Apt. G-21
Alamogordo, NM 88310-4406
Phone (765) 491-9658
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7431 | AZ | MD | Physical Therapist |
| PA2016-0010 | NM | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1285097774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CREWS AVE",
"address_2": "APT. G-21",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104406",
"telephone_number": "765-491-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 10TH STREET,",
"address_2": "PMS-ALAMOGORDO FAMILY HEALTH CENTER",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "88310",
"telephone_number": "575-434-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ADRIENNE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2016-0010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.