Laura Jeanene Martinez
Individual provider Active NPI Maternal Newborn Registered Nurse · Towaoc, CO
NPI 1922645241 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1922645241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Maternal Newborn Registered Nurse 163WM0102X
- License
- RN.1626525 (CO)
- Practice address
- 232 Rustling Willow St
Towaoc, CO 81334-5062 - Phone
- (970) 565-4441
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1626525 | CO | MD | Maternal Newborn Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | RN.1626525 | CO | Yes |
Addresses
Primary practice location
232 Rustling Willow St
Towaoc, CO 81334-5062
Mailing address
232 Rustling Willow St
Towaoc, CO 81334-5062
Phone (970) 565-4441
NPI Registry JSON
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1922645241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 RUSTLING WILLOW ST",
"city": "TOWAOC",
"state": "CO",
"postal_code": "813345062",
"telephone_number": "970-565-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 RUSTLING WILLOW ST",
"city": "TOWAOC",
"state": "CO",
"postal_code": "813345062",
"telephone_number": "970-565-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LAURA",
"middle_name": "JEANENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CO",
"license": "RN.1626525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towaoc, CO
- Ruby Doyle
- Lisa Colleen Fitzpatrick
- Susan Fredrickson
- Richard L Harland Jr.
- Indian Health Service
- Laura Annabeth McCluney
- Helen C Newman
- Thomasita Roanhorse
- Ashley Day Scheier
- Southern Colorado Ute Service Unit
All providers in Towaoc, CO · Maternal Newborn Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.