Individual provider Active NPI

Nora E Martinez, F.N.P.

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1902815970
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP115168 Issued in TX
Practice address
4717 S Sugar Rd Ste H
Edinburg, TX 78539-7212
Phone
(956) 381-4040
Fax
(956) 383-4183
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 AP115168 TX Primary

Addresses

Primary practice location

4717 S Sugar Rd Ste H
Edinburg, TX 78539-7212

Mailing address

1204 E Camelia Ave
Hidalgo, TX 78557-2658
Phone (956) 383-4041

Other identifiers 3

IdentifierTypeStateIssuer
643156OtherTXNP LICENSE
183131502MedicaidTX
AP115168OtherTXTEXAS BOARD OF NURSES FNP LICENSE

Other names 1

  • Nora E Gudino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000106 TX Practitioner - Nurse Practitioner 5193726073 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revitaderm PLLC CurrentSince Feb 6, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1902815970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E CAMELIA AVE",
            "city": "HIDALGO",
            "state": "TX",
            "postal_code": "785572658",
            "telephone_number": "956-383-4041",
            "fax_number": "956-316-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 S SUGAR RD STE H",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397212",
            "telephone_number": "956-381-4040",
            "fax_number": "956-383-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NORA",
        "middle_name": "E",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP115168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "643156",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183131502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSES FNP LICENSE",
            "identifier": "AP115168",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "GUDINO",
            "middle_name": "E",
            "credential": "F.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.