Jeniva Leann Martinez, ASSISTANT SLP

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

35457 Issued in TX

Practice address

431 Wolfe Rd Ste 101
San Antonio, TX 78216-4628

Phone

(210) 582-6840

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1326692302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 WOLFE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164628",
            "telephone_number": "210-582-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 WOLFE RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164628",
            "telephone_number": "210-582-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JENIVA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "ASSISTANT SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952614067",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeniva.gonzalez@agelesslivinghh.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Ageless Living Home Health LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "431 Wolfe Rd Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782164628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janie Alexandra Martinez
• Javier Martinez Jr., RN
• Jazzmyn Martinez
• Jeffrey M. Martinez, M.D.
• Jenee Rae Martinez
• Jenna Christine Martinez
• Jennifer Martinez, R.D.
• Jennifer Martinez
• Jennifer Anne Martinez, PA
• Jennifer Danielle Martinez

• Speech-Language Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.