Active NPI
Lillian Susan Martinez, CNA,HHA,AAS,CPR
- Nurse's Aide
- Castroville, TX
National Provider Identifier
1770810673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA10078860
- Practice address
- 1616 Angelo St
Castroville, TX 78009-4314 - Phone
- (830) 538-9464
- NPI assigned
- Nov 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA10078860 | TX | Primary |
Addresses
Primary practice location
1616 Angelo St
Castroville, TX 78009-4314
Mailing address
PO Box 128
Castroville, TX 78009-0128
Phone (830) 538-9464
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
- Credentials
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA10078860 | TX | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1770810673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780090128",
"telephone_number": "830-538-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 ANGELO ST",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780094314",
"telephone_number": "830-538-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LILLIAN",
"middle_name": "SUSAN",
"credential": "CNA,HHA,AAS,CPR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TX",
"license": "NA10078860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castroville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.