Colleen M Martin

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3501001686 Issued in MI

Practice address

5050 Schaefer Rd
Dearborn, MI 48126-3249

Phone

(313) 581-2600

Fax

(313) 581-0228

NPI assigned

Nov 13, 2006

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)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1396816351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N CREST LN",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781153",
            "telephone_number": "248-437-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-581-2600",
            "fax_number": "313-581-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R St Ste 1007",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012017",
            "country_code": "US",
            "telephone_number": "313-966-9471",
            "fax_number": "313-966-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "3501001686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Marscheider, MA, LLP, LPC
• Dustin Marsh, PSYD
• Deidra Denee' Marshall, LMSW
• Faith Markita Marshall
• Belinda Sabina Marson-Ice, APRN BC
• Jamie Martin
• Miranda Filicity Martin, PT
• Nykolas Martin
• Tanya Lynnette Martin, PSY.D., LLP
• Carlos Martinez Garcia

• Audiologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.