Julie M Martina, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60116479 Issued in WA

Practice address

722 Avenue D
Snohomish, WA 98290-2365

Phone

(425) 520-3415

Fax

(425) 367-0553

NPI assigned

Oct 24, 2009

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

State licenses

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1285960310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14517 25TH AVE SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125792",
            "telephone_number": "425-520-3415",
            "fax_number": "425-367-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902365",
            "telephone_number": "425-520-3415",
            "fax_number": "425-367-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10811 SE Kent Kangley Rd",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980307108",
            "country_code": "US",
            "telephone_number": "253-854-5660",
            "fax_number": "253-893-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINA",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-24",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60116479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7018518",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adena Suen Mangkornkeo, RDA
• Andrew Howard Marrone, D.C.
• Elizabeth Ann Marshall, COTA
• Theresa Ann Martez, ND, LMP
• Brian A Martina, D.D.S.
• Paul Anthony Martinez, LMP
• Valerie Martinez
• Jenny L Martinsen, SLP
• Lisa Mascotti
• Matrx Pharmacy, LLC

• Speech-Language Pathologist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Speech-Language Pathologist in Washington

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