Individual provider Active NPI

Heidi Edith Martinez Marquez, RN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1417592437
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN215884 Issued in AZ
Practice address
1817 N 7TH St
Phoenix, AZ 85006-2133
Phone
(602) 257-3904
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN215884 AZ Primary

Addresses

Primary practice location

1817 N 7TH St
Phoenix, AZ 85006-2133

Mailing address

5420 N 63Rd Dr
Glendale, AZ 85301-6502
Phone (623) 383-0482

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pesd

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN215884AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1417592437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 N 63RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016502",
            "telephone_number": "623-383-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062133",
            "telephone_number": "602-257-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MARQUEZ",
        "first_name": "HEIDI",
        "middle_name": "EDITH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN215884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pesd",
            "affiliation": "N",
            "address_1": "1817 N 7th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.