Individual provider Active NPI

Nathanael R Martinez, MA

  • Marriage & Family Therapist
  • Weeki Wachee, FL
National Provider Identifier
1992417604
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4532 Issued in FL
Practice address
10051 Country Rd BLDG C
Weeki Wachee, FL 34613-5264
Phone
(941) 275-9659
NPI assigned
Dec 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4532 FL Primary

Addresses

Primary practice location

10051 Country Rd BLDG C
Weeki Wachee, FL 34613-5264

Mailing address

10051 Country Rd BLDG C
Weeki Wachee, FL 34613-5264
Phone (941) 275-9659

Other practice location 1

3717 Turman Loop Ste 101
Wesley Chapel, FL 33544-7794
Phone (813) 982-4230 ext. 2

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MT4532FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1992417604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 COUNTRY RD BLDG C",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346135264",
            "telephone_number": "941-275-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 COUNTRY RD BLDG C",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346135264",
            "telephone_number": "941-275-9659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3717 Turman Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335447794",
            "country_code": "US",
            "telephone_number": "813-982-4230 x2",
            "fax_number": "813-815-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NATHANAEL",
        "middle_name": "R",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.