Active NPI
Michelle Susanne Martinez, LVN
- Licensed Vocational Nurse
- El Paso, TX
National Provider Identifier
1801623954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 222952
- Practice address
- 2400 Trawood Dr
El Paso, TX 79936-4168 - Phone
- (915) 564-6100
- NPI assigned
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 222952 | TX | Primary |
Addresses
Primary practice location
2400 Trawood Dr
El Paso, TX 79936-4168
Mailing address
5001 N Piedras St
El Paso, TX 79930-4210
Phone (915) 564-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720304900 | Other | TX | EPVAHCS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222952 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1801623954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 TRAWOOD DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364168",
"telephone_number": "915-564-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MICHELLE",
"middle_name": "SUSANNE",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "222952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPVAHCS",
"identifier": "1720304900",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.