Active NPI
Elizabeth Martins-McClung, SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1114054285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1577
- Practice address
- 6801 Ventana Village Rd NW
Ventana Ranch Es
Albuquerque, NM 87114-4183 - Phone
- (505) 890-7375
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1577 | NM | Primary |
Addresses
Primary practice location
6801 Ventana Village Rd NW
Ventana Ranch Es
Albuquerque, NM 87114-4183
Mailing address
6801 Ventana Village Rd NW
Ventana Ranch Es
Albuquerque, NM 87114-4183
Phone (505) 890-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L4746 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1577 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114054285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 VENTANA VILLAGE RD NW",
"address_2": "VENTANA RANCH ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144183",
"telephone_number": "505-890-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 VENTANA VILLAGE RD NW",
"address_2": "VENTANA RANCH ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144183",
"telephone_number": "505-890-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINS-MCCLUNG",
"first_name": "ELIZABETH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L4746",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.