Organization Active NPI

Christina Martinez Aprn PLLC

  • Family Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1386110443
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTINA MARTINEZ APRN PLLC
Practice address
845 W Craig Rd Ste 104
North Las Vegas, NV 89032-0282
Phone
(702) 740-0648
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Ms. Christina Marie Martinez, APRN FNP-CNPI 1558723486
Title
Family Nurse Practitioner
Phone
(702) 740-0648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

845 W Craig Rd Ste 104
North Las Vegas, NV 89032-0282

Mailing address

845 W Craig Rd Ste 104
North Las Vegas, NV 89032-0282
Phone (702) 740-0648

Other identifiers 2

IdentifierTypeStateIssuer
1558723486OtherNPI
1851753594OtherNPI

Other names 1

  • San Miguel Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190131002264 NV Part B Supplier - Clinic/Group Practice 2062759897 Receives reassigned benefits from 2 practitioners
Practice locations: North Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2167750San Miguel Medical Center845 W Craig Rd Ste 104, N Las Vegas, NV 89032Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

845 W Craig Rd
Ste 104
North Las Vegas, NV 89032
Phone (702) 326-4756

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1386110443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W CRAIG RD STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320282",
            "telephone_number": "702-740-0648",
            "fax_number": "702-740-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W CRAIG RD STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320282",
            "telephone_number": "702-740-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA MARTINEZ APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-740-0648",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558723486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851753594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Miguel Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Miguel Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.