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

LicenseStateTypeSpecialty
RN.1626525COMDMaternal Newborn Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 5, 2019.

{
    "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

All providers in Towaoc, CO · Maternal Newborn Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.