Individual provider Active NPI

Iala Gomez Martinez, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1487350369
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024910 Issued in FL
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

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G525-400-84-525-0OtherFLDRIVE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11024910FLMDFamily Nurse Practitioner
1017168TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctor Medical Group Corp Single Specialty CurrentSince Jun 23, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.