Vanessa Nerey Martinez

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

124461 Issued in AR

Practice address

3608 W Southern Hills Blvd Ste 4
Rogers, AR 72758-8310

Phone

(479) 633-7052

Fax

(479) 391-5252

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in AR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pure Balance of Nwa PLLC

  • Psychiatry Physician
  • Rogers, AR
  • NPI 1073359931
  Medicare reassignment NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1710706692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SPRINGHILL AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628891",
            "telephone_number": "786-320-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 W SOUTHERN HILLS BLVD STE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588310",
            "telephone_number": "479-633-7052",
            "fax_number": "479-391-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VANESSA",
        "middle_name": "NEREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "124461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Martin
• Reece Christopherson Martin, PA-C
• Samantha Marie Martin
• Maddy Rae Martineau
• Hannah Martinez, LPC
• Mary Jane Sonntag PSYD PA
• Sabrina Elisabeth Mashburn, OTD, OTR/L
• Natalie Brooke Mason, SLP
• Sarah Mason, QBHP
• Susan Shaw Mason, CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.