Active NPI
Kayleen Anin Martins
- Perfusionist
- Mesa, AZ
National Provider Identifier
1922523588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 1830 S Alma School Rd Ste 108
Mesa, AZ 85210-3086 - Phone
- (480) 248-3000
- Fax
- (480) 248-3050
- NPI assigned
- Aug 4, 2017
- 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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Primary |
Addresses
Primary practice location
1830 S Alma School Rd Ste 108
Mesa, AZ 85210-3086
Mailing address
1830 S Alma School Rd Ste 108
Mesa, AZ 85210-3086
Phone (480) 248-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242T00000X | Other | AZ | TAXONOMY CODE |
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": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922523588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852103086",
"telephone_number": "480-248-3000",
"fax_number": "480-248-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852103086",
"telephone_number": "480-248-3000",
"fax_number": "480-248-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINS",
"first_name": "KAYLEEN",
"middle_name": "ANIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY CODE",
"identifier": "242T00000X",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.