Individual provider Active NPI

Tameka Trenda Martin, FNP-C, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1740784594
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP136241 Issued in TX
Practice address
501 Saunders Ave Ste 300
Tyler, TX 75702-7524
Phone
(903) 579-9800
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136241 TX
Acute Care Nurse Practitioner 363LA2100X AP136241 TX Primary

Addresses

Primary practice location

501 Saunders Ave Ste 300
Tyler, TX 75702-7524

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

910 E Houston St Ste 550
Tyler, TX 75702
Phone (903) 606-8718

Other practice location 2

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Other practice location 3

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611

Other identifiers 4

IdentifierTypeStateIssuer
P02026182OtherTXMEDICARE RAIL ROAD
642399YMAFOtherTXMEDICARE
382699201MedicaidTX
8JF321OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412001292 TX Practitioner - Nurse Practitioner 5991068579 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

501 Saunders Ave
Suite 300
Tyler, TX 75702-7524
Phone (903) 579-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Dec 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 9, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 9, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2020 Accepting new patients
North Texas Physician Services, PLLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Texas Oncology PA CurrentSince Dec 2, 2024 Accepting new patients
Texas Oncology PA CurrentSince Dec 2, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

910 E Houston St
Ste 470
Tyler, TX 75702
Phone (903) 526-2644

910 E Houston St
Ste 550
Tyler, TX 75702
Phone (903) 510-8718

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

501 Saunders Ave
Ste 300
Tyler, TX 75702
Phone (903) 592-9800

Interoperability endpoints

  • Direct secure messaging: tmartin25763@christushealth.direct-ci.net
  • Direct secure messaging: tameka.martin@txo.ikm.direct-ci.com
  • Direct secure messaging: tmartin355186@ahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1740784594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SAUNDERS AVE STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027524",
            "telephone_number": "903-579-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Houston St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "75702",
            "country_code": "US",
            "telephone_number": "903-606-8718",
            "fax_number": "903-606-1218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011908",
            "country_code": "US",
            "telephone_number": "903-590-5611",
            "fax_number": "903-535-6884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TAMEKA",
        "middle_name": "TRENDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136241",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP136241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02026182",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "642399YMAF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382699201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8JF321",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.