Nicole Kathleen Martinez, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95005374 Issued in CA

Practice address

4141 State St Ste B6
Santa Barbara, CA 93110-1851

Phone

(805) 681-7144

Fax

(805) 683-6108

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Kathleen Acosta Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.martinez.p1@direct.aihs.nextgenshare.com

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.

• American Indian Health & Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1740222934
  Medicare reassignment NPD

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1912449059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B6",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101851",
            "telephone_number": "805-681-7144",
            "fax_number": "805-683-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B6",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101851",
            "telephone_number": "805-681-7144",
            "fax_number": "805-683-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NICOLE",
        "middle_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ACOSTA",
            "middle_name": "KATHLEEN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Martinez
• Lorelei Denise Martinez
• Mark Martinez, MENTAL HEALTH WORKER
• Melody Ann Martinez
• Micah Dionisio Martinez, MD
• Roberto Martinez
• Jerry Marttin
• Maryam Guiahi MD, Inc.
• Steve O Marzicola, M.D.
• Steven Nicholas Mascagno, DDS

• Nurse Practitioner in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.