Kendra Michele Martellaro, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26739 Issued in CA

Practice address

900 Potomac St
Aurora, CO 80011-6716

Phone

(303) 695-2600

NPI assigned

Dec 9, 2017

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)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1124533302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 S KENTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141717",
            "telephone_number": "303-263-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116716",
            "telephone_number": "303-695-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLARO",
        "first_name": "KENDRA",
        "middle_name": "MICHELE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Marshall, M.D.
• Dana Marshburn
• John A. Marsiglio, MD
• Jean Marie Marso, RN
• Marisa Marsolek, PA-C
• Martha LLC
• Adriana Martin de la Torre, MA
• Martin E Nowick, MD, PC
• Rebecca Martin-Cobb, RNC-MNN, IBCLC
• Bobbie Jean Martin-Terrell

• Speech-Language Pathologist in Aurora, CO
• Providers in Aurora, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.