Active NPI
Andre Lorenzo Martinez, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Winter Haven, FL
National Provider Identifier
1811818396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11049108
- Practice address
- 4328 Emerald Palms Blvd
Winter Haven, FL 33884-3503 - Phone
- (305) 494-5281
- NPI assigned
- Jul 22, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11049108 | FL | Primary |
Addresses
Primary practice location
4328 Emerald Palms Blvd
Winter Haven, FL 33884-3503
Mailing address
4328 Emerald Palms Blvd
Winter Haven, FL 33884-3503
Phone (305) 494-5281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11049108 | Other | FL | FLORIDA BOARD OF NURSING |
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": "1784678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1811818396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 EMERALD PALMS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843503",
"telephone_number": "305-494-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 EMERALD PALMS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843503",
"telephone_number": "305-494-5281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANDRE",
"middle_name": "LORENZO",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11049108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF NURSING",
"identifier": "APRN11049108",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.