Kristina Martinez

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1171098 Issued in TX

Practice address

8915 Gathering Pass
Converse, TX 78109-3492

Phone

(512) 568-4918

NPI assigned

Jun 17, 2019

Last updated

Sep 10, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1861052466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 GATHERING PASS",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093492",
            "telephone_number": "512-568-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 GATHERING PASS",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093492",
            "telephone_number": "512-568-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1171098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Maldonado, RN
• Mark E. Coira, P.C.
• Abraham Marshall, LPC
• Monica Martin, PT, DPT, C/NDT
• Jessica Martinez, LMSW
• Yvette Marie Martinez, ARNP
• Chantell Mason, LVN
• Ricardo Roberto Mata, PHARMD
• Kyndole May
• Cristy Ann Mayhew, LPC

• Gerontology Nurse Practitioner in Converse, TX
• Providers in Converse, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.