Active NPI
Carrie A Martin, SLP
- Speech-Language Pathologist
- Kingston, OK
National Provider Identifier
1235396367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4654 Angler Cir
Kingston, OK 73439-1900 - Phone
- (405) 315-4510
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | OK | Primary |
Addresses
Primary practice location
4654 Angler Cir
Kingston, OK 73439-1900
Mailing address
4654 Angler Cir
Kingston, OK 73439-1900
Phone (405) 315-4510
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1235396367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4654 ANGLER CIR",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734391900",
"telephone_number": "405-315-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4654 ANGLER CIR",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734391900",
"telephone_number": "405-315-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CARRIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.