Kimberly Martinez-Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1102 E Main
Puyallup, WA 98372-3127

Phone

(253) 339-6094

Fax

(253) 251-0716

NPI assigned

Jan 15, 2025

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Summit Behavioral Solutions, LLC

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1487114385
  NPD

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1184435794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723127",
            "telephone_number": "253-339-6064",
            "fax_number": "253-251-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723127",
            "telephone_number": "253-339-6094",
            "fax_number": "253-251-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-GONZALEZ",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCBAS",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Martin, M.D.
• Sabrina Martin
• Sheralyn Ann Martin, PT
• Theresa K Martin, PA
• Crisol Martinez Aguilar
• Guadalup Aguilar Martinez
• Marcela Martinez
• Rosie Martinez
• Serene Adair Martinez, RPH
• Gayle W Martinsen

• Behavior Technician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.