Individual provider Active NPI

Vanessa Martinez, FNP. PMHNP

  • Family Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1467204651
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234436 Issued in LA
Practice address
312 E Bayou Rd
Thibodaux, LA 70301-8036
Phone
(985) 266-0444
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023487 CA
Family Nurse Practitioner 363LF0000X 234436 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023487 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 234436 LA

Addresses

Primary practice location

312 E Bayou Rd
Thibodaux, LA 70301-8036

Mailing address

312 E Bayou Rd
Thibodaux, LA 70301-8036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240426000892 LA Practitioner - Nurse Practitioner 9032559810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sydney Burchfield LLCGroup PAC ID 2668911546, 5 clinicians

Practice addresses (Care Compare)

609 Brashear Ave
Morgan City, LA 70380-3203
Phone (985) 300-6123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234436LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Apr 5, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Apr 5, 2024 Accepting new patients
Sydney Burchfield, LLC CurrentSince Aug 25, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1299 Marchand Dr
Donaldsonvlle, LA 70346
Phone (225) 268-4125

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

609 Brashear Ave
Morgan City, LA 70380
Phone (985) 300-6123

64410 Highway 41
Pearl River, LA 70452
Phone (985) 256-4712

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 5

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1467204651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018036",
            "telephone_number": "985-266-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VANESSA",
        "credential": "FNP. PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023487",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "234436",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023487",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "234436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.