Individual provider Active NPI

Anthony Steven Martinez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1376326884
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1130606 Issued in TX
Practice address
10401 Montgomery Pkwy NE # 2H
Albuquerque, NM 87111-3876
Phone
(346) 730-6827
Fax
(888) 414-9764
NPI assigned
Aug 17, 2023
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1130606 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 327530 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 84696 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115410-23 NH

Addresses

Primary practice location

10401 Montgomery Pkwy NE # 2H
Albuquerque, NM 87111-3876

Mailing address

PO Box 7572
Spring, TX 77387-7572
Phone (832) 868-9458

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
I20240109002716 TX Practitioner - Nurse Practitioner 1557712031 Reassigns benefits to 1 organization
Practice locations: Spring, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

582 Sewanee Park
Conroe, TX 77302-3086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327530AZMDPsychiatric/Mental Health Nurse Practitioner
115410-23NHMDPsychiatric/Mental Health Nurse Practitioner
84696NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Magnolia Management LLC Psychiatric/Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Path to Peace Psychiatry PLLC Current Accepting new patients

Locations

1904 Longmire Rd
Ste 401
Conroe, TX 77304

13145 Spring Cypress Rd
Cypress, TX 77429

22325 Gosling Rd
Spring, TX 77389

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1376326884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7572",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773877572",
            "telephone_number": "832-868-9458",
            "fax_number": "888-414-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE # 2H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "346-730-6827",
            "fax_number": "888-414-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTHONY",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1130606",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "327530",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "84696",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "115410-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.