Individual provider Active NPI

Ashley Catherine Martinez Clark

  • Speech-Language Pathologist
  • Clearwater, FL
National Provider Identifier
1134565880
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21773 Issued in FL
Practice address
1111 S Highland Ave
Clearwater, FL 33756-4432
Phone
(727) 446-0581
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA21773 FL Primary
Speech-Language Pathologist 235Z00000X SZ10439 FL
Behavior Analyst 103K00000X

Addresses

Primary practice location

1111 S Highland Ave
Clearwater, FL 33756-4432

Mailing address

2747 Enterprise Rd E Unit 14
Clearwater, FL 33759-1154
Phone (201) 660-0492

Other practice location 1

15341 SW 18th St
Miramar, FL 33027-4307
Phone (201) 660-0492

Other practice location 2

5647 Gulf Dr
New Port Richey, FL 34652-4019
Phone (813) 435-3355

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

LicenseStateTypeSpecialty
SA21773FLMDSpeech-Language Pathologist
SZ10439FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Speech Therapy, Inc. Speech-Language Pathologist CurrentSince May 22, 2023 Accepting new patients

Locations

5647 Gulf Dr
New Port Richey, FL 34652
Phone (727) 645-6542

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1134565880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 ENTERPRISE RD E UNIT 14",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591154",
            "telephone_number": "201-660-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564432",
            "telephone_number": "727-446-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15341 SW 18th St",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330274307",
            "country_code": "US",
            "telephone_number": "201-660-0492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5647 Gulf Dr",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346524019",
            "country_code": "US",
            "telephone_number": "813-435-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ CLARK",
        "first_name": "ASHLEY",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21773",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10439",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.