Active NPI
Katie Michelle Martinez, FNP-C
- Nurse Practitioner
- Anthem, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 229940
- Practice address
- 39821 N Thunder Hills LN
Anthem, AZ 85086-3697 - Phone
- (623) 225-8997
- NPI assigned
- Apr 16, 2019
- Last updated
- Sep 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN173331 | AZ | |
| Nurse Practitioner | 363L00000X | 229940 | AZ | Primary |
Addresses
Primary practice location
39821 N Thunder Hills LN
Anthem, AZ 85086-3697
Mailing address
39821 N Thunder Hills LN
Anthem, AZ 85086-3697
Phone (623) 225-8997
Other names 1
- Katie Michelle Myatt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082
1507 N Litchfield Rd
Suite 200
Goodyear, AZ 85395-1201
Phone (623) 215-0040
17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403
24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700
3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444
3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140
5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-7373
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 77.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229940 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Home Care | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients |
Locations
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140
1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040
4222 N 12th St
Ste 102
Phoenix, AZ 85014
Phone (602) 265-4357
12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082
Interoperability endpoints
- katie.martinez.p1@direct.nachci.nextgenshare.com
- kmartinez@firstmedicalplus.kareodirect.com
- kmartinez546447@direct.honorhealth.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1427615012
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1821651753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39821 N THUNDER HILLS LN",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863697",
"telephone_number": "623-225-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39821 N THUNDER HILLS LN",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863697",
"telephone_number": "623-225-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "KATIE",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN173331",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "229940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "MYATT",
"middle_name": "MICHELLE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.