Individual provider Active NPI

Jennifer Joan Martin, M.D.

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1396032652
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
48857 Issued in AZ
Practice address
7340 E Speedway Blvd Ste 104
Tucson, AZ 85710-1361
Phone
(520) 547-7045
NPI assigned
Jul 6, 2011
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R72590 AZ
Pediatrics Physician 208000000X 48857 AZ Primary

Addresses

Primary practice location

7340 E Speedway Blvd Ste 104
Tucson, AZ 85710-1361

Mailing address

7340 E Speedway Blvd Ste 104
Tucson, AZ 85710-1361
Phone (520) 547-7045

Other practice location 1

1925 W Orange Grove Rd Ste 302
Tucson, AZ 85704-1152
Phone (520) 797-3888

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714000696 AZ Practitioner - Pediatric Medicine 0244455996 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48857AZMDPediatrics Physician
R72590AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine CurrentSince Jul 15, 2014 Accepting new patients
TMC Medical Network CurrentSince Oct 31, 2022 Accepting new patients
Arizona Community Physician PC CurrentSince Jul 15, 2014 Accepting new patients

Locations

1500 N Wilmot Rd
Ste B250
Tucson, AZ 85712
Phone (520) 324-7840

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

2191 W Orange Grove Rd
Ste 104
Tucson, AZ 85741

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

3443 N Campbell Ave
Ste 135
Tucson, AZ 85719
Phone (520) 202-6008

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

5515 E 5th St
Tucson, AZ 85711
Phone (520) 298-1138

7340 E Speedway Blvd
Tucson, AZ 85710

7340 E Speedway Blvd
Ste 104
Tucson, AZ 85710
Phone (520) 547-7045

Organizations & group practices 3

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1396032652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 E SPEEDWAY BLVD STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101361",
            "telephone_number": "520-547-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 E SPEEDWAY BLVD STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101361",
            "telephone_number": "520-547-7045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 W Orange Grove Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041152",
            "country_code": "US",
            "telephone_number": "520-797-3888",
            "fax_number": "520-797-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R72590",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "48857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.