Individual provider Active NPI

Gennifer Martinez

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1346558277
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2729 Issued in KS
Practice address
903 S Edgemoor St
Wichita, KS 67218-3337
Phone
(316) 200-4547
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2729 KS Primary
Speech-Language Pathologist 235Z00000X 2008035479 MO

Addresses

Primary practice location

903 S Edgemoor St
Wichita, KS 67218-3337

Mailing address

903 S Edgemoor St
Wichita, KS 67218-3337
Phone (316) 200-4547

Other practice location 1

720 N Main Ave
Republic, MO 65738-1010
Phone (417) 732-3670

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

State licenses

LicenseStateTypeSpecialty
2008035479MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1346558277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183337",
            "telephone_number": "316-200-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183337",
            "telephone_number": "316-200-4547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "MO",
            "postal_code": "657381010",
            "country_code": "US",
            "telephone_number": "417-732-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2729",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2008035479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.