Individual provider Active NPI

Jennifer Betz Martinez, FNP

  • Family Nurse Practitioner
  • San Clemente, CA
National Provider Identifier
1952662371
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034441 Issued in CA
Practice address
247 Avenida Granada Apt a
San Clemente, CA 92672-5599
Phone
(541) 619-3900
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 69182 NM
Family Nurse Practitioner 363LF0000X APRN-262462 MT
Family Nurse Practitioner 363LF0000X AP61613251 WA
Family Nurse Practitioner 363LF0000X 883215 NV
Family Nurse Practitioner 363LF0000X 201350048NP OR
Family Nurse Practitioner 363LF0000X 1192748 TX
Family Nurse Practitioner 363LF0000X 6171261 ID
Family Nurse Practitioner 363LF0000X 95034441 CA Primary
Family Nurse Practitioner 363LF0000X 17805 SC
Family Nurse Practitioner 363LF0000X 321933 AZ

Addresses

Primary practice location

247 Avenida Granada Apt a
San Clemente, CA 92672-5599

Mailing address

247 Avenida Granada Apt a
San Clemente, CA 92672-5599
Phone (541) 619-3900

Other names 1

  • Jennifer Betz King Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
321933AZMDFamily Nurse Practitioner
95034441CAMDFamily Nurse Practitioner
6171261IDMDFamily Nurse Practitioner
APRN-262462MTMDFamily Nurse Practitioner
69182NMMDFamily Nurse Practitioner
883215NVMDFamily Nurse Practitioner
1192748TXMDFamily Nurse Practitioner
AP61613251WAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.martinez.1@29536.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1952662371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 AVENIDA GRANADA APT A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725599",
            "telephone_number": "541-619-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 AVENIDA GRANADA APT A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725599",
            "telephone_number": "541-619-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JENNIFER",
        "middle_name": "BETZ",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-262462",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61613251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "883215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350048NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1192748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "6171261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034441",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "321933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KING",
            "middle_name": "BETZ",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.