Miranda Ellen Martin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-3652 Issued in NV

Practice address

3920 W Charleston Blvd Ste Y
Las Vegas, NV 89102-1633

Phone

(818) 894-2273

Fax

(818) 357-2505

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Slptele LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1497393557
  NPD (past)
• Therapy Blocks L.L.C.

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1346739562

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1235825647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 DALECREST DR UNIT 1061",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291795",
            "telephone_number": "715-587-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W CHARLESTON BLVD STE Y",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021633",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485521",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3356 W Ball Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043728",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8929 Aero Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232231",
            "country_code": "US",
            "telephone_number": "858-277-2277",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 Canoga Ave Fl 15",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672563",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 E Calvada Blvd",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890482797",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Dalecrest Dr Unit 1061",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891291795",
            "country_code": "US",
            "telephone_number": "715-587-2381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 S Barranca Ave Ste 555",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917232791",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5806 Pacific Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902552618",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16320 Roscoe Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914061250",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Long Beach Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908072000",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MIRANDA",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3652",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35288",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6546-154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Martin
• Michaela Martin
• Michelle Martin
• Michiko Nicole Martin
• Mika Martin
• Mukeya Unique Martin
• Myles Martin
• Nadine Viray Martin, PT
• Natalie C Martin
• Patricia Martin

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.