Mitchelle Martinez Flores

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

342523 Issued in NY

Practice address

164 Wickham Ave
Middletown, NY 10940-3717

Phone

(845) 699-9470

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1750043022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403717",
            "telephone_number": "845-699-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ FLORES",
        "first_name": "MITCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "342523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Domenica Marsiglio, PA-C
• Alva Martell-Ortiz, FPA
• Carmen Nereida Martin, LPN
• Jessica Eileen Martin, LMSW
• Marguerite Martin
• Anna Martinez-Johnson
• Eunice Martinez-Salazar, LCSW
• Carina Martinez
• Carmen M Martinez, MD
• Irene Martinez

• Licensed Practical Nurse in Middletown, NY
• Providers in Middletown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.