Individual provider Active NPI

Beatriz Lopez Martinez, FNP

  • Family Nurse Practitioner
  • Newberry, SC
National Provider Identifier
1508656349
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30342 Issued in SC
Practice address
2562 Kinard St
Newberry, SC 29108-2910
Phone
(803) 630-5353
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30342 SC Primary

Addresses

Primary practice location

2562 Kinard St
Newberry, SC 29108-2910

Mailing address

1182 Crosshill LN
Newberry, SC 29108-4104
Phone (803) 944-0351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250613001375 SC Practitioner - Nurse Practitioner 3678084027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pines Ear Nose Throat & Allergy Associates LLC CurrentSince May 19, 2025 Accepting new patients

Locations

2562 Kinard St
Newberry, SC 29108
Phone (803) 321-2499

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": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1508656349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 CROSSHILL LN",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291084104",
            "telephone_number": "803-944-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082910",
            "telephone_number": "803-630-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MARTINEZ",
        "first_name": "BEATRIZ",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.