Patricia Ryan Martin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP01108 Issued in RI

Practice address

1992 Old Louisquisset Pike
Lincoln, RI 02865

Phone

(401) 475-0653

Fax

(401) 475-0729

NPI assigned

Jan 19, 2018

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 names 1

• Patricia Ryan Harrison Former name

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.

• Social Sparks Inc

  • Clinical Social Worker
  • Lincoln, RI
  • NPI 1871960575

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1063920460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 OLD LOUISQUISSET PIKE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654590",
            "telephone_number": "401-475-0653",
            "fax_number": "401-475-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 OLD LOUISQUISSET PIKE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-475-0653",
            "fax_number": "401-475-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICIA",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HARRISON",
            "middle_name": "RYAN",
            "credential": "MS-CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Anne Maranzano, MD
• Jasmin Marin
• Justin Marino
• Stephanie L Marlin, PA-C
• Kerri Lee Martel, FNP
• Ashley Martinez
• Jasmine L Martinez, BCBA, LBA
• Philemon T Marvell, M.D.
• Joyce Masse, LICSW
• Russel John Masse, MASSAGE THERAPIST

• Speech-Language Pathologist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.