Mollena Martinez, CNP, PH.D.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

14740 Issued in CA

Practice address

3509 Coffee Rd
Modesto, CA 95355-1356

Phone

(209) 241-2110

NPI assigned

Aug 14, 2018

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

Credentials

Certified Nurse Practitioner, Doctor of Philosophy

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1336628965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 COFFEE RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551357",
            "telephone_number": "209-241-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551356",
            "telephone_number": "209-241-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MOLLENA",
        "name_prefix": "Dr.",
        "credential": "CNP, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "14740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Martinez
• Maria Edith Martinez, MSW,ASW
• Mary Lou Martinez
• Miles Samuel Martinez
• Mirian Elizabeth Martinez, RN/NP
• Monica Martinez
• Natalie Martinez
• Nora Martinez
• Odalys Martinez
• Patrica Martinez

• Primary Care Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.