Amanda Marie Martin, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

269052 Issued in AZ

Practice address

4110 W Sweetwater Dr
Tucson, AZ 85745-9348

Phone

(888) 480-0530

NPI assigned

Jan 19, 2022

Last updated

Jan 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calmpsych LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1669122818
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1598417701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 W PLACITA DE LA TIERRA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857462176",
            "telephone_number": "520-954-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 W SWEETWATER DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459348",
            "telephone_number": "888-480-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "269052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Martignago, LMT
• Martin E. Sodomsky, M.D.
• Martin Worrall MD LLC Macula and Retina Consultants
• Martin-Taylor Dentistry
• Alexandra Trinidad Quiroz Martin, DMD
• Barbara Jean Martin
• Brett Ryan Martin
• Brian Martin, D.D.S.
• Brian David Martin, MD
• Caitlin Elizabeth Martin, PHARM.D.

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.