Jennifer Farragut Martin, MSCCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2463 Issued in MS

Practice address

137 Beechwood Dr
Hattiesburg, MS 39402-1442

Phone

(601) 466-0876

Fax

(601) 579-0283

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aspirations Therapy Services, LLC

  • Speech-Language Pathologist
  • Hattiesburg, MS
  • NPI 1235463860
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1063554657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BEECHWOOD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021442",
            "telephone_number": "601-466-0876",
            "fax_number": "601-579-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BEECHWOOD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021442",
            "telephone_number": "601-466-0876",
            "fax_number": "601-579-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "FARRAGUT",
        "name_prefix": "Mrs.",
        "credential": "MSCCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00429208",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E. Marsh, FNP
• Jessie Marshall, DNP, CRNA
• Arthur C Martin, MD
• Daniel Brock Martin, DNP, CRNA
• Frederick Robert Martin, MD
• Jessica Martin
• John Lloyd Martin
• Joyce Brenda Martin, CFNP
• Katherine Anne Martin, DPT
• Kayla Christine Martin, CRNA

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.