Active NPI
Kathryne Martinez
- Peer Specialist
- San Diego, CA
National Provider Identifier
1891347324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 4930 Naples St
San Diego, CA 92110-3820 - Phone
- (760) 315-7123
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Peer Specialist | 175T00000X | CA | Primary |
Addresses
Primary practice location
4930 Naples St
San Diego, CA 92110-3820
Mailing address
27777 Inkster Rd
Farmington Hills, MI 48334-5326
Phone (248) 436-4400
Other practice location 1
27777 Inkster Rd
Farmington Hills, MI 48334-5326
Phone (248) 436-4400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksmartinez@telecarecorp.com |
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": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1891347324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345326",
"telephone_number": "248-436-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 NAPLES ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103820",
"telephone_number": "760-315-7123"
}
],
"practiceLocations": [
{
"address_1": "27777 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345326",
"country_code": "US",
"telephone_number": "248-436-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "KATHRYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksmartinez@telecarecorp.com",
"affiliation": "N",
"address_1": "4930 Naples St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921103820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.