ANDREA MARIE MARTINEZ (NPI# 1417427626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417427626 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE MARTINEZ |
| Credential | NP-C |
| Practice Address |
1106 E 6600 S Murray UT 84121-2446 |
| Mailing Address |
3867 S 4950 W West Haven UT 84401-6829 |
| Practice Telephone | 8019305266 |
| Mailing Telephone | 8017107072 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5340746-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3867 S 4950 W, West Haven, UT 844016829 | 8017107072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1497385223 | Andrea Martinez | Behavior Technician | 1652 W Texas St, Suite 244, Fairfield, CA 94533-6066 | 2020-01-21 |
| 1881239481 | Andrea Monique Martinez | Behavior Technician | 2151 Professional Dr Ste 100, Roseville, CA 95661-3761 | 2019-11-07 |
| 1508400433 | Andrea Martinez | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2019-11-04 |
| 1750934683 | Andrea Martinez | Behavior Technician | 4910 E Ashlan Ave Ste 118, Fresno, CA 93726-3021 | 2019-07-19 |
| 1609435858 | Andrea Martinez | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-06-11 |
| 1316408040 | Andrea Martinez | Licensed Vocational Nurse | 7710 W Ih 10, San Antonio, TX 78230-4711 | 2019-03-26 |
| 1417416280 | Andrea Martinez | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-03-19 |
| 1841757101 | Andrea Martinez | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-02-22 |
| 1184118655 | Andrea Martinez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2018-06-19 |
| Street Address |
1106 E 6600 S |
| City | MURRAY |
| State | UT |
| Zip Code | 84121-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831568906 | Palliative Specialty Group LLC | Family Medicine | 1106 E 6600 S, Murray, UT 84121-2446 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076230 | Laken Nicole Darnell | Nurse Practitioner | 1601 Highway 121 Byp N Ste B, Murray, KY 42071-8759 | 2020-09-01 |
| 1851940282 | Shawna Niles | Nurse Practitioner | 201 E 5900 S Ste 100, Murray, UT 84107-5429 | 2019-09-09 |
| 1780156661 | Shane Jaimez | Nurse Practitioner | 166 E 5900 S Ste B109, Murray, UT 84107-7293 | 2018-12-17 |
| 1205304581 | Kristina Dantzel Crane | Nurse Practitioner | 5781 S Meadowcrest Dr, Murray, UT 84107-6501 | 2018-11-05 |
| 1649759069 | James C Taylor | Nurse Practitioner | 5848 S Fashion Blvd # 300e, Murray, UT 84107-6170 | 2018-08-07 |
| 1891291316 | Zackery Ross Wilkes | Nurse Practitioner | 5169 S Cottonwood St # 510, Murray, UT 84107-6767 | 2018-04-03 |
| 1396266177 | Rita Rutland | Nurse Practitioner | 308 E 4500 S Ste 280, Murray, UT 84107-3975 | 2017-06-30 |
| 1164951737 | Joanie Marie Limb | Nurse Practitioner | 835 E 4800 S Ste 230, Murray, UT 84107-5535 | 2017-06-07 |
| 1689113334 | Carolyn Winchester | Nurse Practitioner | 506 Lynnwood Ct, Murray, KY 42071-2218 | 2017-02-14 |
| 1053757492 | Shannon Velaine Shepherd | Nurse Practitioner | 1106 E 6600 S # 100, Murray, UT 84121-2446 | 2013-05-13 |
| Find all providers in MURRAY | ||||
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| 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.