Active NPI
Kimberly Patricia Martinez, LVN
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1376893495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN248114
- Practice address
- 226 S Clovis Ave Apt 115
Fresno, CA 93727-4283 - Phone
- (559) 905-5683
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN248114 | CA | Primary |
Addresses
Primary practice location
226 S Clovis Ave Apt 115
Fresno, CA 93727-4283
Mailing address
226 S Clovis Ave Apt 115
Fresno, CA 93727-4283
Phone (559) 905-5683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN248114 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1376893495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 S CLOVIS AVE APT 115",
"city": "FRESNO",
"state": "CA",
"postal_code": "937274283",
"telephone_number": "559-905-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 S CLOVIS AVE APT 115",
"city": "FRESNO",
"state": "CA",
"postal_code": "937274283",
"telephone_number": "559-905-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "KIMBERLY",
"middle_name": "PATRICIA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN248114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.