NPIMap

Individual provider Active NPI

Catherine Carter Martinez

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1881368405
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904729 Issued in MS
Practice address
1408 44TH Ave
Gulfport, MS 39501-2554
Phone
(228) 575-1777
Fax
(228) 867-4123
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904729 MS Primary

Addresses

Primary practice location

1408 44TH Ave
Gulfport, MS 39501-2554

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000781 MS Practitioner - Nurse Practitioner 1355747510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-5705

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Aug 16, 2021 Accepting new patients
Memorial Hospital at Gulfport Nurse Practitioner CurrentSince Aug 16, 2021 Accepting new patients
D'Iberville Home Program, LLC CurrentSince Nov 1, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
South Mississippi Nephrology, PLLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

14215 Cook Rd
Biloxi, MS 39532
Phone (228) 872-0516

4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705

1340 Broad Ave
Ste 410
Gulfport, MS 39501
Phone (228) 575-1775

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1408 44th Ave
Gulfport, MS 39501
Phone (228) 575-1777

Interoperability endpoints

  • Direct secure messaging: cmartinez@direct.mhg.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1881368405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-575-1194",
            "fax_number": "228-575-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 44TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012554",
            "telephone_number": "228-575-1777",
            "fax_number": "228-867-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CATHERINE",
        "middle_name": "CARTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.