Individual provider Active NPI

Jayla Martinez, MS CCC-SLP

  • Speech-Language Pathologist
  • Kihei, HI
National Provider Identifier
1033776646
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1632 Issued in HI
Practice address
64 Kihalani St Unit 808
Kihei, HI 96753-7696
Phone
(808) 446-9992
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1632 HI Primary

Addresses

Primary practice location

64 Kihalani St Unit 808
Kihei, HI 96753-7696

Mailing address

64 Kihalani St Unit 808
Kihei, HI 96753-7696
Phone (808) 446-9992

Other practice location 1

2131 Lilikoi Rd
Haiku, HI 96708-5046
Phone (808) 359-4762

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1632HIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1033776646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 KIHALANI ST UNIT 808",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537696",
            "telephone_number": "808-446-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 KIHALANI ST UNIT 808",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537696",
            "telephone_number": "808-446-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 Lilikoi Rd",
            "address_purpose": "LOCATION",
            "city": "Haiku",
            "state": "HI",
            "postal_code": "967085046",
            "country_code": "US",
            "telephone_number": "808-359-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAYLA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.