Individual provider Active NPI

Nathalie Martinez, CRIMINAL JUSTICE

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1831557248
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1455 E Tropicana Ave
Suite 175B
Las Vegas, NV 89119-6507
Phone
(702) 893-2002
Fax
(702) 369-3334
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1455 E Tropicana Ave
Suite 175B
Las Vegas, NV 89119-6507

Mailing address

4917 Lawrence St
North Las Vegas, NV 89081-2603
Phone (702) 862-9074

Other identifiers 1

IdentifierTypeStateIssuer
NV2014064283MedicaidNV

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1831557248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 LAWRENCE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812603",
            "telephone_number": "702-862-9074",
            "fax_number": "702-369-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E TROPICANA AVE",
            "address_2": "SUITE 175B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196507",
            "telephone_number": "702-893-2002",
            "fax_number": "702-369-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NATHALIE",
        "name_prefix": "Miss",
        "credential": "CRIMINAL JUSTICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV2014064283",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.