Jaime Carroll Martinez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95007241 Issued in CA

Practice address

1122 Middleton CT
Mount Pleasant, SC 29464-9006

Phone

(760) 519-1735

NPI assigned

Sep 12, 2017

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1316466261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MIDDLETON CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649006",
            "telephone_number": "760-519-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MIDDLETON CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649006",
            "telephone_number": "760-519-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7740 Rancho Santa Fe Rd",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920098685",
            "country_code": "US",
            "telephone_number": "760-753-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAIME",
        "middle_name": "CARROLL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha and Josie Jenkins Jr. LLC Dob Ecsdc
• Ashlee Martin
• Catherine Stephanie Martin, NP
• Sharon Eve Martin, FNP,CNS
• Thomas Patrick Martin Jr., MD
• Charlotte Helene Marvil, D.D.S.
• Mary House
• Mary P Price LLC
• Elysia D Mason, RN, IBCLC
• Michael Wayne Mason, RT (R)

• Family Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.