Makristina Atencio Martinez, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SPO11863 Issued in PA

Practice address

1244 Fort Washington Ave Ste N1
Fort Washington, PA 19034-1743

Phone

(215) 646-6504

Fax

(215) 646-6546

NPI assigned

Dec 26, 2011

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

Other names 1

• Ma.Kristina Atencio Martinez Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Concierge Medical Services of Family Practice Assoc of Upper Dublin

  • Family Medicine Physician
  • Fort Washington, PA
  • NPI 1245347319
  NPD (past)
• Concierge Medical Services of Family Practice of Upper Dublin

  • Family Medicine Physician
  • Fort Washington, PA
  • NPI 1871527119
  NPD (past)

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1629347349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-646-6504",
            "fax_number": "215-646-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE STE N1",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-646-6504",
            "fax_number": "215-646-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd",
            "address_2": "Abington Memorial Hospital - Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013325",
            "country_code": "US",
            "telephone_number": "215-481-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MAKRISTINA",
        "middle_name": "ATENCIO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-26",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SPO11863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmartinez@cmsfpud.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1244 Fort Washington Ave",
            "city": "Fort Washington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190341743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MA.KRISTINA",
            "last_name": "MARTINEZ",
            "middle_name": "ATENCIO",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Manilov, M.D.
• Dolores R Marchesano, DSW LICENSED PSYCHOL
• Crystal Marco, LPC
• Andrew Giles Markman Guzick, PH.D.
• Anesha Rasheen Martin, MA, LAPC
• Mary Anne Matta, L.AC
• Colleen J Matysik, RN
• Cara Maybruck, PT
• MBST Human Services
• Catherine Grace McCaffrey, MA, CCC-SLP, CLC

• Adult Health Nurse Practitioner in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.