Active NPI
Alyssa Martinez
- Student in an Organized Health Care Education/Training Program
- Albuquerque, NM
National Provider Identifier
1770163073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Msc10 5530 1 University of New Mexico
Albuquerque, NM 87131-6379 - Phone
- (505) 272-0932
- Fax
- (505) 272-5821
- NPI assigned
- Apr 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | Primary |
Addresses
Primary practice location
Msc10 5530 1 University of New Mexico
Albuquerque, NM 87131-6379
Mailing address
9270 Eagle Ranch Rd NW Apt 612
Albuquerque, NM 87114-6027
Phone (949) 439-9044
Other practice location 1
8150 SW Barnes Rd Apt K306
Portland, OR 97225-6379
Phone (949) 439-9044
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1770163073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9270 EAGLE RANCH RD NW APT 612",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871146027",
"telephone_number": "949-439-9044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MSC10 5530 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871316379",
"telephone_number": "505-272-0932",
"fax_number": "505-272-5821"
}
],
"practiceLocations": [
{
"address_1": "8150 SW Barnes Rd Apt K306",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256379",
"country_code": "US",
"telephone_number": "949-439-9044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-11",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.