Individual provider Active NPI

Anthony Lee Martinez, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1770262594
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
867833 Issued in NV
Practice address
2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone
(702) 684-7800
Fax
(702) 684-7878
NPI assigned
Jul 18, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 867833 NV Primary

Addresses

Primary practice location

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400

Mailing address

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240730001818 NV Practitioner - Nurse Practitioner 8325585177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors Center at Red Rock Capobianco PLLCGroup PAC ID 6204156763, 14 clinicians

Practice addresses (Care Compare)

2801 N Tenaya Way
Suite C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince May 2, 2024 Accepting new patients

Locations

1681 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 564-1234

2801 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 684-7800

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

7220 S Cimarron Rd
Ste 155
Las Vegas, NV 89113
Phone (702) 577-4471

Interoperability endpoints

  • Direct secure messaging: anthony.martinez.1@32704.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1770262594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTHONY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "867833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.