Individual provider Active NPI

M. Emilia Martinez, RN

  • Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1518503374
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R42147 Issued in NM
Practice address
9540 Stone Ridge Dr NW
Albuquerque, NM 87114-3006
Phone
(505) 429-1716
Fax
(505) 212-0447
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R42147 NM Primary

Addresses

Primary practice location

9540 Stone Ridge Dr NW
Albuquerque, NM 87114-3006

Mailing address

9540 Stone Ridge Dr NW
Albuquerque, NM 87114-3006
Phone (505) 429-1716

Other identifiers 1

IdentifierTypeStateIssuer
84-3345400OtherNMHOME HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R42147NMMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1518503374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 STONE RIDGE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143006",
            "telephone_number": "505-429-1716",
            "fax_number": "505-212-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 STONE RIDGE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143006",
            "telephone_number": "505-429-1716",
            "fax_number": "505-212-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "M.",
        "middle_name": "EMILIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R42147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "84-3345400",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.