Carmen Yolanda Martinez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001922 Issued in VA

Practice address

9705 Liberia Ave Ste 201
Manassas, VA 20110-1744

Phone

(703) 680-7950

Fax

(703) 680-7953

NPI assigned

Mar 12, 2007

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmen.martinez@gpwchc.eclinicaldirectplus.com

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.

• Greater Prince William Area Community Health Center Inc

  dba Lunera Health

  • Federally Qualified Health Center (FQHC)
  • Woodbridge, VA
  • NPI 1366591562
  Medicare reassignment NPD (past)
• Greater Prince William Area Community Health Center Inc

  dba Greater Prince William Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Manassas, VA
  • NPI 1750263422
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1851423230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 MONUMENT AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915405",
            "telephone_number": "703-244-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 LIBERIA AVE STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201101744",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46440 Benedict Dr",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201646602",
            "country_code": "US",
            "telephone_number": "571-434-0022",
            "fax_number": "571-434-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46440 Benedict Dr",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201646602",
            "country_code": "US",
            "telephone_number": "571-434-0022",
            "fax_number": "571-434-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARMEN",
        "middle_name": "YOLANDA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Jacqueline Marquez
• Victoria Marszalek, LCSW
• Martha's Health Services, Inc
• Robin Gale Martin, M.A ,CCC-SLP
• Karen Massiel Martinez Fermin, LPN
• Osman Masahudu
• Camila Masetto
• Lois Ann Masiello, MPT
• Valentina Masiero, PA-C
• Carolyn Joy Mason, M.D.

• Physician Assistant in Manassas, VA
• Providers in Manassas, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.