Individual provider Active NPI

Alejandra Pina Martinez, FNP

  • Family Nurse Practitioner
  • Anthony, NM
National Provider Identifier
1972217859
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71302 Issued in NM
Practice address
401 Anthony Dr Ste D
Anthony, NM 88021-8266
Phone
(575) 201-4480
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 71302 NM
Family Nurse Practitioner 363LF0000X 71302 NM Primary

Addresses

Primary practice location

401 Anthony Dr Ste D
Anthony, NM 88021-8266

Mailing address

401 Anthony Dr Ste D
Anthony, NM 88021-8266

Other practice location 1

1106 Centre Ct
Las Cruces, NM 88011-8154
Phone (575) 532-5455

Other practice location 2

7426 Los Vecinos Dr
Canutillo, TX 79835-8819
Phone (915) 274-7791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, CO, AZ, MT, IA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20230228003211 NM Practitioner - Nurse Practitioner 1759754492 Reassigns benefits to 1 organization
I20240106000633 TX Practitioner - Nurse Practitioner 1759754492 Reassigns benefits to 1 organization
I20240106000812 CO Practitioner - Nurse Practitioner 1759754492 Reassigns benefits to 1 organization
I20240108004424 AZ Practitioner - Nurse Practitioner 1759754492 Reassigns benefits to 1 organization
I20240108005887 MT Practitioner - Nurse Practitioner 1759754492 Reassigns benefits to 1 organization
I20241230000142 IA Practitioner - Nurse Practitioner 1759754492 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Dec 22, 2023 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. Single Specialty CurrentSince Dec 22, 2023 Accepting new patients
Southwest Center on Aging Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Dec 22, 2023 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

400 E Court Ave
Ste 110
Des Moines, IA 50309

3011 American Way
Missoula, MT 59808
Phone (406) 546-8745

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

1106 Centre Ct
Las Cruces, NM 88011
Phone (575) 532-5455

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 4

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1972217859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ANTHONY DR STE D",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ANTHONY DR STE D",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218266",
            "telephone_number": "575-201-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Centre Ct",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118154",
            "country_code": "US",
            "telephone_number": "575-532-5455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7426 Los Vecinos Dr",
            "address_purpose": "LOCATION",
            "city": "Canutillo",
            "state": "TX",
            "postal_code": "798358819",
            "country_code": "US",
            "telephone_number": "915-274-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINA MARTINEZ",
        "first_name": "ALEJANDRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "71302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "71302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthony, NM

Sources for this page

Verify at the official NPI Registry.