Individual provider Active NPI

Maikel Garcia Martinez, FNP-C

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1356629448
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019423 Issued in TX
Practice address
19618 Little Pine LN
Katy, TX 77449-2673
Phone
(713) 550-6255
NPI assigned
Jul 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 1019423 TX Primary

Addresses

Primary practice location

19618 Little Pine LN
Katy, TX 77449-2673

Mailing address

19618 Little Pine LN
Katy, TX 77449-2673
Phone (713) 550-6255

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
I20240520003917 TX Practitioner - Nurse Practitioner 4183066335 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Texas PLLC Family CurrentSince May 14, 2024 Accepting new patients

Locations

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: maikel.garcia.martinez.1@22854.direct.athenahealth.com

Organizations & group practices 1

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": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1356629448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19618 LITTLE PINE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492673",
            "telephone_number": "713-550-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19618 LITTLE PINE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492673",
            "telephone_number": "713-550-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MARTINEZ",
        "first_name": "MAIKEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-24",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.