Amy Marie Martin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP11616 Issued in AZ

Practice address

1055 W Queen Creek Rd Ste 3
Chandler, AZ 85248-8134

Phone

(480) 814-7115

Fax

(480) 787-2505

NPI assigned

May 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashinberg@hmg.gwaydirect.com

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.

• Alpha Medical Group LLC

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1639568470

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Pentz Health Services LLC

  • Sports Physician Chiropractor
  • Mesa, AZ
  • NPI 1184762890

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  AZ, Family

  Medicare reassignment NPD
• Advanced Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1356680540

  AZ

  Medicare reassignment
• Az Family Chiropractic LLC

  • Chiropractor
  • Gilbert, AZ
  • NPI 1376609339
  NPD
• Infinite Health & Wellness Centers PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1114206638

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1356830574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W QUEEN CREEK RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488134",
            "telephone_number": "480-814-7115",
            "fax_number": "480-787-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W QUEEN CREEK RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488134",
            "telephone_number": "480-814-7115",
            "fax_number": "480-787-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN129434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marsh
• Ava Greer Marshall-Garza, PMHNP
• Thomas William Marston, MD
• Naomie Anika Martial
• Martin Dental-Airpark LLC
• Angelique Martin
• Jai'Ya Michelle Martin
• Julissa Martin
• Michael C Martin, DC
• Michelle Martin

• All providers in Chandler, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.