Teresa Ann Martinez, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006673 Issued in WA

Practice address

6203 Agency Square Loop
Wellpinit, WA 99040-0357

Phone

(509) 258-4517

Fax

(509) 258-4456

NPI assigned

Mar 7, 2006

Last updated

Jul 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1811964927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400357",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 AGENCY SQUARE LOOP",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400357",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019645",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alma Regina Macclain, RN
• Sharon Ann Moses, ARNP
• Elizabeth Genet Sachse, RN
• Carolina E Sanchez-Van Komen, LPN
• Derrick Lemont Singleton
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• Family Nurse Practitioner in Wellpinit, WA
• Providers in Wellpinit, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.