IndividualActive
Tamara Martinez, LPN
NPI 1053685396 · Licensed Practical Nurse · Douglas, AZ
Provider details
- NPI number
- 1053685396
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- LP043706 (AZ)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 E 15th St
Douglas, AZ 85607-1731
Phone: (520) 364-3462
Fax: (520) 805-4171
Street-level locationGet directions
Mailing address
1132 E 12th St
Douglas, AZ 85607-2337
Registry dates
- Enumerated
- 2012-03-05
- Last updated
- 2012-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.