Active NPI
Jennifer Martinez
- Behavior Technician
- Doral, FL
National Provider Identifier
1700483179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-70808
- Practice address
- 8200 NW 41St St Ste 200
Doral, FL 33166-6204 - Phone
- (305) 401-5259
- NPI assigned
- Oct 7, 2020
- Last updated
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-70808 | FL | Primary |
Addresses
Primary practice location
8200 NW 41St St Ste 200
Doral, FL 33166-6204
Mailing address
920 NW 78TH Ave Unit 8
Miami, FL 33126-7802
Phone (305) 799-2668
Other practice location 1
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104352300 | Medicaid | FL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Direct | |
| Other URL | MOBILE | Direct | |
| Other URL | MOBILE | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-70808 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1700483179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 NW 78TH AVE UNIT 8",
"city": "MIAMI",
"state": "FL",
"postal_code": "331267802",
"telephone_number": "305-799-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 NW 41ST ST STE 200",
"city": "DORAL",
"state": "FL",
"postal_code": "331666204",
"telephone_number": "305-401-5259"
}
],
"practiceLocations": [
{
"address_1": "1500 S Douglas Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331344108",
"country_code": "US",
"telephone_number": "844-854-1116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "18-70808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104352300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 S Douglas Rd Ste 230",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331344108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MOBILE",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8200 NW 41st St Ste 200",
"city": "Doral",
"state": "FL",
"country_code": "US",
"postal_code": "331666204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MOBILE",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 S Douglas Rd Ste 230",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331344108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.