Individual provider Active NPI

Erica Martinez

  • Licensed Vocational Nurse
  • Tyler, TX
National Provider Identifier
1699256461
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
309125 Issued in TX
Practice address
100 E Ferguson St Ste 608
Tyler, TX 75702-5756
Phone
(903) 705-0070
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 309125 TX Primary

Addresses

Primary practice location

100 E Ferguson St Ste 608
Tyler, TX 75702-5756

Mailing address

9992 County Road 3111 N
Kilgore, TX 75662-7528
Phone (903) 445-2663

Other practice location 1

100 E Ferguson St Ste 608
Tyler, TX 75702-5756
Phone (903) 705-0070

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

State licenses

LicenseStateTypeSpecialty
309125TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Children'S Homecare, LP Past Accepting new patients

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1699256461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9992 COUNTY ROAD 3111 N",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756627528",
            "telephone_number": "903-445-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E FERGUSON ST STE 608",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025756",
            "telephone_number": "903-705-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Ferguson St Ste 608",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757025756",
            "country_code": "US",
            "telephone_number": "903-705-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "309125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.