Individual provider Active NPI

Bonnie Ruth Martin, ANP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1346653755
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125393 Issued in TX
Practice address
5937 Donnelly Ave
Fort Worth, TX 76107-5811
Phone
(682) 212-9140
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125393 TX Primary

Addresses

Primary practice location

5937 Donnelly Ave
Fort Worth, TX 76107-5811

Mailing address

5937 Donnelly Ave
Fort Worth, TX 76107-5811
Phone (682) 212-9140

Other identifiers 1

IdentifierTypeStateIssuer
AP125393OtherTXTEXAS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmartin1661257@Direct.Texas.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223001274 TX Practitioner - Nurse Practitioner 1557582137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Jan 6, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 13, 2017 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 13, 2017 Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care CurrentSince Jan 6, 2021 Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5937 Donnelly Ave
Fort Worth, TX 76107
Phone (469) 495-9142

3805 W University Dr
Ste 100
McKinney, TX 75071
Phone (469) 495-9102

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: bmartin1661257@direct.texas.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1346653755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 DONNELLY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075811",
            "telephone_number": "682-212-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 DONNELLY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075811",
            "telephone_number": "682-212-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BONNIE",
        "middle_name": "RUTH",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "AP125393",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmartin1661257@Direct.Texas.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5937 Donnelly Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761075811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.