Kyline M Martinez, BSN,RN

Individual provider Active NPI School Registered Nurse · Questa, NM

NPI 1366254401 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1366254401
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
61800 (NM)
Practice address
2556A Wildcat Road
Questa, NM 87556
Phone
(575) 586-0032
NPI assigned
Jan 24, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
61800NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Questa Independent Schools Past
since Jan 26, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 61800 NM Yes

Addresses

Primary practice location

2556A Wildcat Road
Questa, NM 87556

Mailing address

PO Box 440
Questa, NM 87556-0440
Phone (575) 586-0421

Other providers in Questa, NM

All providers in Questa, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.