Individual provider Active NPI

Yvette Marie Martinez, ARNP

  • Nurse Practitioner
  • Converse, TX
National Provider Identifier
1962913830
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP137562 Issued in TX
Practice address
7585 Kitty Hawk Ste 201
Converse, TX 78109
Phone
(210) 468-2333
Fax
(210) 667-4044
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9360091 FL
Nurse Practitioner 363L00000X AP137562 TX Primary

Addresses

Primary practice location

7585 Kitty Hawk Ste 201
Converse, TX 78109

Mailing address

7585 Kitty Hawk Ste 201
Converse, TX 78109-2820
Phone (210) 468-2333

Other practice location 1

8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703
Phone (954) 255-7310 ext. 3209

Other practice location 2

8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703
Phone (954) 255-7310 ext. 3209

Other identifiers 1

IdentifierTypeStateIssuer
385163601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611000353 TX Practitioner - Nurse Practitioner 8527321512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nova Southeastern College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kands Healthcare LLCGroup PAC ID 3577709849, 8 clinicians

Practice addresses (Care Compare)

7585 Kitty Hawk Rd
Suite 201
Converse, TX 78109-2820
Phone (210) 468-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
K&S Healthcare, LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

7585 Kitty Hawk Rd
Ste 201
Converse, TX 78109
Phone (210) 468-2333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24630/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6170/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1962913830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK STE 201",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092820",
            "telephone_number": "210-468-2333",
            "fax_number": "210-667-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK STE 201",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "78109",
            "telephone_number": "210-468-2333",
            "fax_number": "210-667-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8251 W Broward Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242703",
            "country_code": "US",
            "telephone_number": "954-255-7310 x3209",
            "fax_number": "954-255-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8251 W Broward Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242703",
            "country_code": "US",
            "telephone_number": "954-255-7310 x3209",
            "fax_number": "954-255-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "YVETTE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9360091",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385163601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

Verify at the official NPI Registry.