Active NPI
Jill Martin
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1013355866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13-039
- Practice address
- 6602 Northridge Cir
Louisville, KY 40241-6522 - Phone
- (812) 661-7314
- NPI assigned
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13-039 | KY | Primary |
Addresses
Primary practice location
6602 Northridge Cir
Louisville, KY 40241-6522
Mailing address
6602 Northridge Cir
Louisville, KY 40241-6522
Phone (812) 661-7314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-039 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1013355866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 NORTHRIDGE CIR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402416522",
"telephone_number": "812-661-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 NORTHRIDGE CIR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402416522",
"telephone_number": "812-661-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "13-039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.