Active NPI
Iala Gomez Martinez, APRN
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1487350369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11024910
- Practice address
- 6738 Marina Pointe Village CT Apt 201
Tampa, FL 33635-9003 - Phone
- (346) 368-9273
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1017168 | TX | |
| Family Nurse Practitioner | 363LF0000X | 11024910 | FL | Primary |
Addresses
Primary practice location
6738 Marina Pointe Village CT Apt 201
Tampa, FL 33635-9003
Mailing address
6738 Marina Pointe Village CT Apt 201
Tampa, FL 33635-9003
Phone (346) 368-9273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G525-400-84-525-0 | Other | FL | DRIVE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626004266 | FL | Practitioner - Nurse Practitioner | 1355854092 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024910 | FL | MD | Family Nurse Practitioner |
| 1017168 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Doctor Medical Group Corp | Single Specialty | Current | Accepting new patients |
Locations
888 S Parsons Ave
Brandon, FL 33511
Phone (813) 684-2273
6822 W Waters Ave
Tampa, FL 33634
Phone (813) 280-4909
Interoperability endpoints
- https://api.platform.athenahealth.com/19280/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- General Practice Physician
- Tampa, FL
- NPI 1295237675
FL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1487350369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6738 MARINA POINTE VILLAGE CT APT 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359003",
"telephone_number": "346-368-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6738 MARINA POINTE VILLAGE CT APT 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359003",
"telephone_number": "346-368-9273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ MARTINEZ",
"first_name": "IALA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-02",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1017168",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11024910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVE LICENCE",
"identifier": "G525-400-84-525-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.