Tara McClanahan Martinez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220766 Issued in LA

Practice address

141 Highway 402
Napoleonville, LA 70390-2217

Phone

(985) 369-6027

Fax

(985) 369-7656

NPI assigned

Jun 28, 2021

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baton Rouge Cardiology Center

  • Cardiovascular Disease Physician
  • Baton Rouge, LA
  • NPI 1144377102
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1285204867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HIGHWAY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902217",
            "telephone_number": "985-369-6027",
            "fax_number": "985-369-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HIGHWAY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902217",
            "telephone_number": "985-369-6027",
            "fax_number": "985-369-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Main St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703603403",
            "country_code": "US",
            "telephone_number": "985-223-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TARA",
        "middle_name": "MCCLANAHAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just Health
• Clark A King Jr., D.D.S.
• Donna Lynn Landry
• Yvette L Leblanc
• Anita Lewis
• Nagaratna Reddy M.D (Reddy Family Medical Clinic)
• Shamontae Renee Nicholas
• Our Lady of the Lake Assumption Community Hospital (Assumption Community Hospital)
• Our Lady of the Lake Assumption Community Hospital (Assumption Community Hospital)
• Our Lady of the Lake Hospital Inc (OLOL Assumption ER Physicians)

• Family Nurse Practitioner in Napoleonville, LA
• Providers in Napoleonville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.