Active NPI
Anita W. Martinez, NP
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1427018399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 69
- Practice address
- 500 W Thomas Rd
Suite 800
Phoenix, AZ 85013-4224 - Phone
- (602) 406-3715
- Fax
- (602) 406-4011
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 050257 | AZ | |
| Advanced Practice Midwife | 367A00000X | 69 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd
Suite 800
Phoenix, AZ 85013-4224
Mailing address
File 56765
Los Angeles, CA 90074-6765
Phone (602) 406-3860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400086 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050257 | AZ | MD | Registered Nurse |
| 69 | AZ | MD | Advanced Practice Midwife |
Interoperability endpoints
- amartinez88548@direct.valleywisehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1427018399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 56765",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900746765",
"telephone_number": "602-406-3860",
"fax_number": "602-406-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE 800",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-3715",
"fax_number": "602-406-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANITA",
"middle_name": "W.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "050257",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "69",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400086",
"state": "AZ"
}
],
"endpoints": [],
"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 Apr 18, 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.