Marcela Lopez Martinez X

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2203 Old Hwy 99 S
Mount Vernon, WA 98273-9009

Phone

(360) 542-8810

Fax

(360) 542-8811

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, WA
  • NPI 1407325368
  NPD (past)
• Sea-Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, WA
  • NPI 1225530520
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1760944409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 OLD HWY 99 S",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739009",
            "telephone_number": "360-542-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 OLD HWY 99 S",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739009",
            "telephone_number": "360-542-8810",
            "fax_number": "360-542-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARCELA",
        "middle_name": "LOPEZ",
        "name_suffix": "X",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WDL1855B093B",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WDL1855B09B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Nicholas Martin, DC
• David Martin
• Guadalupe Martinez Torres
• Alejandro Martinez
• Humberto Martinez
• Maria Angeles Martinez
• Diane C Marx, RDN
• Massage Radiance
• Masterpeace Counseling, PLLC
• Bruce C Mathey, MD

• Case Manager/Care Coordinator in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.