Katelyn Victoria Martino, CCC-M.ED. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010025 Issued in GA

Practice address

115 Academy St Ste 102
Canton, GA 30114-3008

Phone

(404) 444-1521

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Simplicity Therapy Group Inc

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1134749336
  NPD

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1063900710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1901",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300771901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "404-444-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 W Oak Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300622274",
            "country_code": "US",
            "telephone_number": "678-314-9295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12010 Etris Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300751421",
            "country_code": "US",
            "telephone_number": "770-998-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "KATELYN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "CCC-M.ED. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Diane Martin, MS, LPC
• Michelle L Martin, LPC
• Todd C Martin, M.D.
• Whitley Martin, RBT
• Michael Anthony Martinelli, M.D.
• Erin S Massarello
• Karla Paige Massey, PHARMD.
• Maternally Mindful Counseling Center, LLC
• Jhustyce I Mathews
• Lacey Mathis, MA, BCBA

• Speech-Language Pathologist in Canton, GA
• Providers in Canton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.