Individual provider Active NPI

Jacalyn Martinez, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Pueblo, CO
National Provider Identifier
1114541059
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0002375 Issued in CO
Practice address
126 W D St Ste 100C
Pueblo, CO 81003-4430
Phone
(719) 621-1182
Fax
(719) 931-5601
NPI assigned
Jun 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0002375 CO Primary

Addresses

Primary practice location

126 W D St Ste 100C
Pueblo, CO 81003-4430

Mailing address

140 W 29TH St # 254
Pueblo, CO 81008-1002

Other names 1

  • Jacalyn Savage Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020001326 CO Practitioner - Qualified Speech Language Pathologist 0042630683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pueblo Speech and Neurological Rehabilitation CenterGroup PAC ID 1153741798, 7 clinicians

Practice addresses (Care Compare)

126 W D St
100C Pueblo Speech and Neuro Rehab
Pueblo, CO 81003-4430
Phone (719) 621-1182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.0002375COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Speech and Neurological Rehabilitation Center Speech-Language Pathologist CurrentSince Sep 25, 2020 Accepting new patients

Locations

4015 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 250-4757

140 W 29th St
Pueblo, CO 81008

126 W D St
Ste 100C
Pueblo, CO 81003
Phone (719) 621-1182

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1114541059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 29TH ST # 254",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W D ST STE 100C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034430",
            "telephone_number": "719-621-1182",
            "fax_number": "719-931-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JACALYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACALYN",
            "last_name": "SAVAGE",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.