Vicente Manuel Martinez Cardenas, PNP-BC, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9247766 Issued in FL

Practice address

1002 11TH St SW
Live Oak, FL 32064-3606

Phone

(386) 364-8050

Fax

(386) 364-7068

NPI assigned

Oct 19, 2009

Sex

Male

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 and National Provider Directory roles.

• Andres R Villar MD

  • Pediatrics Physician
  • Lake City, FL
  • NPI 1356435457
  NPD (past)
• Andres R Villar MD

  • Pediatrics Physician
  • Live Oak, FL
  • NPI 1902571532
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1679809180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553811",
            "telephone_number": "386-755-1546",
            "fax_number": "386-755-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643606",
            "telephone_number": "386-364-8050",
            "fax_number": "386-364-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CARDENAS",
        "first_name": "VICENTE",
        "middle_name": "MANUEL",
        "credential": "PNP-BC, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9247766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lumpkins
• Judith Elaine Lynch, RD, PA
• James Dallas Malone
• Herbert C Mantooth, D.D.S.
• Gina R Marler, MED CCC SLP
• Shellie Christina May, M.ED.
• Loreen McCloud
• Francis Eileen McCowan, LMHC
• Felicia Cherry McDaniel
• James M. McMillan, CRPH

• Pediatric Nurse Practitioner in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.