Active NPI
Teresa Martinez, NP-C
- Family Nurse Practitioner
- Port Saint Lucie, FL
National Provider Identifier
1740455328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3201662
- Practice address
- 198 SW Grove Ave
Port Saint Lucie, FL 34983-3016 - Phone
- (772) 332-9789
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3201662 | FL | Primary |
Addresses
Primary practice location
198 SW Grove Ave
Port Saint Lucie, FL 34983-3016
Mailing address
198 SW Grove Ave
Port Saint Lucie, FL 34983-3016
Phone (772) 332-9789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3201662 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Current | Accepting new patients |
Locations
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
Interoperability endpoints
- teresa.martinez.1@23284.direct.athenahealth.com
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": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403308800000",
"number": "1740455328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 SW GROVE AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833016",
"telephone_number": "772-332-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 SW GROVE AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833016",
"telephone_number": "772-332-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2014-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3201662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.