Active NPI
Lori Renee Martinez, SLP-CCC
- Speech-Language Pathologist
- Plainview, NY
National Provider Identifier
1205104759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 007455-1
- Practice address
- 86 Beaumont Dr
Plainview, NY 11803-2515 - Phone
- (515) 827-1996
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 007455-1 | NY | Primary |
Addresses
Primary practice location
86 Beaumont Dr
Plainview, NY 11803-2515
Mailing address
86 Beaumont Dr
Plainview, NY 11803-2515
Phone (515) 827-1996
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 |
|---|---|---|---|
| 007455-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1205104759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 BEAUMONT DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032515",
"telephone_number": "515-827-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 BEAUMONT DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032515",
"telephone_number": "515-827-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LORI",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "007455-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.