Kori Martinez FNP, LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KORI MARTINEZ FNP, LLC.

Practice address

2301 Yale Blvd SE Ste D3
Albuquerque, NM 87106-4355

Phone

(505) 330-9300

Fax

(505) 842-4436

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Kori Dawn Martinez, APRN-CNPNPI 1053972158

Title

Owner

Phone

(505) 330-9300

Specialties & licenses 1

Addresses

Other names 1

• Kori Martinez FNP, LLC. Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kori Dawn Martinez, APRN-FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1053972158
  NPD (past) Authorized official
• Larry D Levy, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
  • NPI 1124321765
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1508457409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 YALE BLVD SE STE D3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064355",
            "telephone_number": "505-330-9300",
            "fax_number": "505-842-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 YALE BLVD SE STE D3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064355",
            "telephone_number": "505-330-9300",
            "fax_number": "505-842-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORI MARTINEZ FNP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KORI",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-330-9300",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kori Martinez FNP, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alana Kopec
• Emily Meira Koplik, LISW
• Sireesha Koppula, MD
• Mary Elizabeth Kopsovich, LMSW
• Patricia L Korenchen, MSW,
• Frank Bernard Koronkiewicz, R.PH.
• Candice Nicole Korte
• Deborah Leslie Kos, PSY.D.
• Nikitha Kosaraju
• Jason C. Koschmeder, O.D.

• Primary Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.