Active NPI
Daisy Marissa Martinez, SLPA
- Speech-Language Assistant
- Forney, TX
National Provider Identifier
1376030387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 39488
- Practice address
- 600 S. Bois D'Arc St
Forney, TX 75126 - Phone
- (469) 762-4100
- NPI assigned
- Apr 16, 2018
- 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 Assistant | 2355S0801X | 39488 | TX | Primary |
Addresses
Primary practice location
600 S. Bois D'Arc St
Forney, TX 75126
Mailing address
600 S. Bois D'Arc St
Forney, TX 75126
Phone (281) 364-9695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376030387 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmmartinez@forneyisd.net |
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 |
|---|---|---|---|
| 39488 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathfinder Pediatrics Home Care, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Care Options for Kids
- Home Health Agency
- Katy, TX
- NPI 1134371651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1376030387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S. BOIS D'ARC ST",
"city": "FORNEY",
"state": "TX",
"postal_code": "75126",
"telephone_number": "281-364-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S. BOIS D'ARC ST",
"city": "FORNEY",
"state": "TX",
"postal_code": "75126",
"telephone_number": "469-762-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DAISY",
"middle_name": "MARISSA",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2022-11-22",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "39488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376030387",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmmartinez@forneyisd.net",
"affiliation": "N",
"address_1": "600 S. Bois D'Arc St",
"city": "Forney",
"state": "TX",
"country_code": "US",
"postal_code": "75126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.