Andrea Marie Martinez, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5340746-4405 Issued in UT

Practice address

1106 E 6600 S
Murray, UT 84121-2446

Phone

(801) 930-5266

NPI assigned

Nov 29, 2018

Last updated

Nov 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Healthcare IncGroup PAC ID 8123368925, 11 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health Home health agency, Layton, UT, CCN 467231
• Specialty Nursing Services Home health agency, Huntsville, UT, CCN 467110
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006
• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
• Mt Ogden Health and Rehabilitation Center Nursing home, Washington Terrace, UT, CCN 465069

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Canyon Healthcare, Inc.

  dba Physician Home Care

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1649748559
  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaver Valley Hospital

  dba Mt. Ogden Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Washington Terrace, UT
  • NPI 1962955229

  Nursing home

  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health McKay-Dee Hospital

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580
  Care Compare affiliation
• Silver Lake Healthcare, Inc.

  dba Symbii Home Health

  • Home Health Agency
  • Layton, UT
  • NPI 1184914772
  Care Compare affiliation
• Specialty Nursing Services

  • Home Health Agency
  • Huntsville, UT
  • NPI 1144223249
  Care Compare affiliation
• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1417427626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 S 4950 W",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016829",
            "telephone_number": "801-710-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E 6600 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212446",
            "telephone_number": "801-930-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3867 S 4950 W",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "UT",
            "postal_code": "844016829",
            "country_code": "US",
            "telephone_number": "801-710-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5340746-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antony Eugin Martin, MD
• Joseph Perry Martin, O.D.
• Linda M Martin
• Vanessa Estella Martinez-Quezada
• Jonathan Jose Martinez-Salazar
• Carolyn Martinez
• Cassandra Martinez
• Daniel Jacob Martinez, CSW
• Erminia Martinez
• Melissa Martinez

• Family Nurse Practitioner in Murray, UT
• Providers in Murray, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.