Lisa Yvonne Martinez, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105423 Issued in TX

Practice address

2400 Lakeview Dr
Ste. 102
Amarillo, TX 79109-1532

Phone

(806) 468-9400

Fax

(806) 468-9401

NPI assigned

Aug 25, 2011

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

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1306126008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE G",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716297",
            "telephone_number": "575-758-4337",
            "fax_number": "575-751-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR",
            "address_2": "STE. 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-468-9400",
            "fax_number": "806-468-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISA",
        "middle_name": "YVONNE",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Martinez, PHARM.D.
• Eric Daniel Martinez, MA, MA, LPC
• Graciella Martinez, APRN FNP-C
• Jazzlyn Martinez
• Julianne Grace Martinez, MSN, APRN, PMHNP-C
• Richard Martinez, PT, DPT
• Robert Daniel Martinez Jr.
• Robin Elaine Martinez, MD
• Stephane Le Ann Martinez, LCSW
• Vincent Martinez

• Speech-Language Pathologist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.