Individual provider Active NPI

Alejandra Martinez, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1427764505
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1103905 Issued in TX
Practice address
208 Shiloh Dr
Laredo, TX 78045-7208
Phone
(567) 958-1009
Fax
(877) 897-4368
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F11220989 TX
Family Nurse Practitioner 363LF0000X 1103905 TX Primary

Addresses

Primary practice location

208 Shiloh Dr
Laredo, TX 78045-7208

Mailing address

1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230801000089 TX Practitioner - Nurse Practitioner 0749641249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11220989TXMDNurse Practitioner
1103905TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Health Center, Inc CurrentSince Mar 12, 2024 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Mar 17, 2023 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Mar 17, 2023 Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients

Locations

1702 Lafayette St
Laredo, TX 78041
Phone (956) 625-3344

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

208 Shiloh Dr
Laredo, TX 78045
Phone (567) 958-1009

210 Rathmell
Zapata, TX 78076
Phone (956) 765-4367

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1427764505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100",
            "fax_number": "877-897-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SHILOH DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457208",
            "telephone_number": "567-958-1009",
            "fax_number": "877-897-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALEJANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F11220989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1103905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.