Individual provider Active NPI

Eric Rene Martinez, AU.D.

  • Audiologist
  • Renton, WA
National Provider Identifier
1023295615
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00004686 Issued in WA
Practice address
4033 Talbot Rd S Ste 540
Renton, WA 98055-5700
Phone
(425) 690-3602
Fax
(425) 690-9602
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD00004686 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 540
Renton, WA 98055-5700

Mailing address

1959 NE Pacific St
University of Washington Medical Center Box 356161
Seattle, WA 98195-6161
Phone (206) 598-4055

Other practice location 1

1959 NE Pacific St
University of Washington Medical Center Box 356161
Seattle, WA 98195-6161
Phone (206) 598-4055

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD00004686WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1023295615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "UNIVERSITY OF WASHINGTON MEDICAL CENTER BOX 356161",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956161",
            "telephone_number": "206-598-4055",
            "fax_number": "206-598-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 540",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555700",
            "telephone_number": "425-690-3602",
            "fax_number": "425-690-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_2": "University of Washington Medical Center Box 356161",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956161",
            "country_code": "US",
            "telephone_number": "206-598-4055",
            "fax_number": "206-598-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ERIC",
        "middle_name": "RENE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00004686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.