Individual provider Active NPI

Kirsten Lynn Martinez, LVN

  • Licensed Vocational Nurse
  • Fort Hood, TX
National Provider Identifier
1962088765
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
193307 Issued in TX
Practice address
Carl R. Darnall Army Medical Center
36065 Santa Fe Ave
Ft. Hood, TX 76544
Phone
(254) 553-8110
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 193307 TX Primary

Addresses

Primary practice location

Carl R. Darnall Army Medical Center
36065 Santa Fe Ave
Ft. Hood, TX 76544

Mailing address

2803 Tarrant County Dr
Killeen, TX 76549-5786
Phone (254) 226-6233

Other practice location 1

5200 Bunny Trl
Killeen, TX 76549-6930
Phone (254) 553-8131 ext. 25455

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

State licenses

LicenseStateTypeSpecialty
193307TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1962088765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 TARRANT COUNTY DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495786",
            "telephone_number": "254-226-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARL R. DARNALL ARMY MEDICAL CENTER",
            "address_2": "36065 SANTA FE AVE",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Bunny Trl",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765496930",
            "country_code": "US",
            "telephone_number": "254-553-8131 x25455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KIRSTEN",
        "middle_name": "LYNN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "193307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.