BRANDON REY MARTINEZ (NPI# 1033757711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033757711 |
| Entity Type | Individual |
| Full Name | BRANDON REY MARTINEZ |
| Credential | MSN, PMHNP-BC, APRN |
| Practice Address |
1650 Community College Dr Las Vegas NV 89146-1144 |
| Mailing Address |
6545 Timber Point St Las Vegas NV 89148-4297 |
| Practice Telephone | 7024864000 |
| Mailing Telephone | 7025267610 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
825008 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA# | MM5630682 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1710498589 | Brandon Kyle Martinez | Pharmacist | 200 Andrews Way Apt 206, South Windsor, CT 06074-6995 | 2017-10-19 |
| 1467937318 | Brandon Alexis Martinez | Behavior Technician | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2018-09-26 |
| 1679008346 | Brandon Martinez | Licensed Vocational Nurse | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2017-05-01 |
| 1730332164 | Brandon Joseph Martinez | Counselor | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2008-10-29 |
| 1023271947 | Brandon Keith Martinez | Radiology | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2008-07-10 |
| Street Address |
1650 COMMUNITY COLLEGE DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483477 | Cecilia R Shermack-warner | Psychologist | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2006-07-23 |
| 1154920593 | Candi N Tondoneh | Registered Nurse | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2020-10-17 |
| 1598382558 | Peter Fecurka | Nurse Practitioner | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2020-06-25 |
| 1417597972 | Leslie Hains | Occupational Therapist | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2020-01-13 |
| 1669013900 | Joseph Henrich | Counselor | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2019-10-07 |
| 1770073595 | Jane Avila Ferraris | Registered Nurse | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2018-05-16 |
| 1144732413 | Dante Denecko Redic | Behavior Technician | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2017-10-26 |
| 1225425184 | Alyssa Burwell | Social Worker | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2015-04-17 |
| 1134535677 | Trung Duc Tran | Pharmacist | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2014-07-04 |
| 1942623368 | Leisl Esposito | Pharmacist | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404074 | Ibukun Odutola | Nurse Practitioner | 2605 E Flamingo Rd, Las Vegas, NV 89121-5241 | 2020-07-14 |
| 1225652191 | Angela Beth Wilson | Nurse Practitioner | 5440 W Sahara Ave Ste 220, Las Vegas, NV 89146-0355 | 2020-06-05 |
| 1104445394 | Universal Psychiatry LLC | Nurse Practitioner | 270 E Flamingo Rd Unit 122, Las Vegas, NV 89169-0325 | 2020-04-09 |
| 1952931271 | Paramount Healthcare Services Corp | Nurse Practitioner | 10141 Rockridge Peak Ave, Las Vegas, NV 89166-5200 | 2020-01-26 |
| 1730642182 | Aban Medical Services | Nurse Practitioner | 10145 Eagle Haven St, Las Vegas, NV 89141-8781 | 2019-04-11 |
| 1750857728 | Jan Michael Arceo | Nurse Practitioner | 3140 S Rainbow Blvd Ste 401, Las Vegas, NV 89146-6234 | 2018-10-17 |
| 1780110247 | Jon A Failla Aprn Pllc | Nurse Practitioner | 182 Apache Tear Ct, Las Vegas, NV 89123-2996 | 2017-05-03 |
| 1023565074 | Bright Star Nurse Care LLC | Nurse Practitioner | 8337 Fox Brook St, Las Vegas, NV 89139-6755 | 2016-09-07 |
| 1467805119 | Kasey James Dean | Nurse Practitioner | 3321 N Buffalo Dr, Suite 200, Las Vegas, NV 89129-6678 | 2016-07-18 |
| 1558757021 | Martin Binyange | Nurse Practitioner | 320 E Warm Springs Rd Unit 1, Las Vegas, NV 89119-4243 | 2015-04-12 |
| Find all providers in LAS VEGAS | ||||
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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.