BERTHA MARTINEZ (NPI# 1063953859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063953859 |
| Entity Type | Individual |
| Full Name | BERTHA MARTINEZ |
| Other Name | BERTHA LORENA CONTRERAS |
| Credential | FNP |
| Practice Address |
510 E Lisa Dr Chaparral NM 88081 |
| Mailing Address |
385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 |
| Practice Telephone | 5758240820 |
| Practice Fax Number | 5758241021 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-03158 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 34726705 | 05 | |
| NM | MEDICARE | 563869YRND | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619483344 | Bertha Elisa Martinez | Pharmacist | 903 W Martin St, San Antonio, TX 78207-0903 | 2017-12-18 |
| Street Address |
510 E LISA DR |
| City | CHAPARRAL |
| State | NM |
| Zip Code | 88081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508838004 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2006-02-07 |
| 1205470192 | Carleen Covington | Dental Hygienist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-11-04 |
| 1801448964 | Tanya Sue Maestas | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-07-09 |
| 1144768417 | Leasette Marie Hernandez | Social Worker | 510 E Lisa Dr, Chaparral, NM 88081 | 2017-02-07 |
| 1730630633 | Mary Baddour | Dentist | 510 E Lisa Dr, Chaparral, NM 88081 | 2016-10-17 |
| 1801240452 | Monica Hernandez | Social Worker | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2016-04-20 |
| 1528476488 | Kapil Mangla | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2014-07-23 |
| 1629333091 | Bharani Kumar Bhattu | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2012-07-11 |
| 1811274863 | Jennifer Nkemamaka Nwaogu | Nurse Practitioner | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2011-11-04 |
| 1871889337 | La Clinica De Familia, Inc. | Clinic/Center | 510 E Lisa Dr, Bldg. 3, Chaparral, NM 88081-7809 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017832 | Apothecary Pharmacy PC | Pharmacy | 550 E. Lisa Ste C, Chaparral, NM 88081 | 2017-04-16 |
| 1134577430 | Carole Decastro | Registered Nurse | 800 County Line Rd., Chaparral, NM 88081 | 2016-05-26 |
| 1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
| 1174845143 | Presbyterian Medical Services | Clinic/Center | 204 Angelina Blvd., Chaparral, NM 88081 | 2010-02-18 |
| 1407094980 | The Community Foundation of Southern New Mexico | Clinic/Center | 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 | 2009-01-22 |
| 1922210764 | Homer Avalos Avalos | Counselor | 336 Geronimo, Chapparal, NM 88081 | 2007-05-04 |
| 1962862938 | La Clinica De Familia, Inc. | Clinic/Center | 800 S County Line Dr, Chaparral, NM 88081 | 2016-03-03 |
| 1720281355 | Lessons From Horses, Inc. | Counselor | 2765 Green Tree Loop, Chaparral, NM 88081-7380 | 2007-06-10 |
| 1750693198 | Belem Selene Calzadillas-perez | Case Manager/Care Coordinator | 696 Sunny Sands Dr, Chaparral, NM 88081-7422 | 2010-07-13 |
| 1093017287 | Natalie Aurelia Sutton | Specialist | 647 Tumbleweed Rd, Chaparral, NM 88081-7428 | 2010-11-22 |
| Find all providers in zip 88081 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194267708 | Rachel Nix | Nurse Practitioner | 204 Angelina Blvd, Chaparral, NM 88081-7558 | 2016-11-14 |
| 1609165067 | Healthnet Medical Family & Internal Medicine LLC | Nurse Practitioner | 300 Mccombs Rd # 235, Chaparral, NM 88081-7937 | 2011-04-06 |
| 1598054454 | Monica Romero | Nurse Practitioner | 510 Lisa Dr., Chaparral, NM 88081-7809 | 2011-03-31 |
| 1649827064 | Kellie Hoskins | Nurse Practitioner | 204 Angelina Blvd, Chaparral, NM 88081-7558 | 2019-08-20 |
| 1730400870 | Jesus Hernandez | Nurse Practitioner | 510 E Lisa Dr, Chaparral, NM 88081 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BERTHA MARTINEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.