TAMMI JO MARTINEZ FNP-BC PMHNP-BC NPI 1376977488

NPI Information

NPI: 1376977488
Provider Name: TAMMI JO MARTINEZ, FNP-BC, PMHNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
46 E STATE HIGHWAY 162
PORTAGEVILLE, MO
ZIP 63873
Phone: (573) 391-8031
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Tammi Jo Martinez, FNP-BC, PMHNP-BC is a family nurse practitioner in Portageville, MO with 11 years of experience. Tammi Jo Martinez, FNP-BC, PMHNP-BC NPI is 1376977488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

46 E STATE HIGHWAY 162
PORTAGEVILLE, MO
ZIP 63873-177
Phone: (573) 391-8031
Fax: (573) 391-8050

The NPI 1376977488 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2013021889	MISSOURI	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2021019156	MISSOURI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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