Active NPI
Lorraine Elizabeth Martinez, MS-SLP-CCC
- Speech-Language Pathologist
- Portland, TX
National Provider Identifier
1356019301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 116118
- Practice address
- 4200 Wildcat Dr
Portland, TX 78374-2821 - Phone
- (361) 777-4042
- NPI assigned
- Sep 3, 2021
- Last updated
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 116118 | TX | Primary |
Addresses
Primary practice location
4200 Wildcat Dr
Portland, TX 78374-2821
Mailing address
608 College St
Portland, TX 78374-2021
Phone (361) 774-6202
Other practice location 1
4601 Wildcat Dr
Portland, TX 78374-2827
Phone (361) 777-4251 ext. 6288
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116118 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1356019301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 COLLEGE ST",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742021",
"telephone_number": "361-774-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WILDCAT DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742821",
"telephone_number": "361-777-4042"
}
],
"practiceLocations": [
{
"address_1": "4601 Wildcat Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "TX",
"postal_code": "783742827",
"country_code": "US",
"telephone_number": "361-777-4251 x6288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LORRAINE",
"middle_name": "ELIZABETH",
"credential": "MS-SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "116118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, TX
- Luxottica of America Inc (Target Optical P739)
- Sumeet Singh Malhotra, DMD
- Raymond Pampolina Manahan, IDC
- Angela Garcia Marroquin, SLP - INTER
- Joseph Daniel Martinez, PHARMD
- Shelby Danielle Martinez, PHARMD
- Michael Landers Mauldin, D.D.S.
- MCJV (Zona Azul)
- MCJV Medical Partners, LLC (Bridge Family Practice)
- Donna Welfel McMahan, RN MSN FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.