Marcimiliana Martinez

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

9442408 Issued in FL

Practice address

820 Oak Ave
Saint Charles, MO 63301-2941

Phone

(561) 261-0399

NPI assigned

Oct 26, 2022

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

• Marcimiliana Gutierrez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1710604137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OAK AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012941",
            "telephone_number": "561-261-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 OAK AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012941",
            "telephone_number": "561-261-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012941",
            "country_code": "US",
            "telephone_number": "561-261-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARCIMILIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9442408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIMILIANA",
            "last_name": "GUTIERREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Lee Martin, D.O.
• Lindsey Catherine Martin, APRN FNP-BC
• Sarah Mee Hyeon Martin
• Stanley B Martin, M.D.
• Theresa Anne Martin, R.N.
• Mia Martinez
• Roseann Martinez
• Amy Joy Marty, PH.D.
• Michelle Ann Mashinter, D.C.
• Joan H. Mass, MD

• Medical-Surgical Registered Nurse in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Medical-Surgical Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.