Active NPI
Nora E Martinez, F.N.P.
- Nurse Practitioner
- Edinburg, TX
National Provider Identifier
1902815970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP115168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 643156 | Other | TX | NP LICENSE |
| 183131502 | Medicaid | TX | |
| AP115168 | Other | TX | TEXAS BOARD OF NURSES FNP LICENSE |
Other names 1
- Nora E Gudino
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitaderm PLLC | Current | 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.
-
- Registered Nurse
- Newark, TX
- NPI 1518770494
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.