Individual provider Active NPI

Joanne Marie Martelli, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1760625214
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3300 Issued in AZ
Practice address
4329 W Electra LN
Glendale, AZ 85310-3972
Phone
(623) 692-9933
Fax
(623) 249-7418
NPI assigned
Apr 14, 2009
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3300 AZ Primary

Addresses

Primary practice location

4329 W Electra LN
Glendale, AZ 85310-3972

Mailing address

1425 W Elliot Rd
Suite 201
Gilbert, AZ 85233-5129
Phone (623) 692-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1760625214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W ELLIOT RD",
            "address_2": "SUITE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335129",
            "telephone_number": "623-692-9933",
            "fax_number": "623-249-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 W ELECTRA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103972",
            "telephone_number": "623-692-9933",
            "fax_number": "623-249-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLI",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "3300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.