Individual provider Active NPI

Emma Lynn Martin, AUD

  • Audiologist
  • Charleston, WV
National Provider Identifier
1508605551
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0425 Issued in WV
Practice address
4501 Maccorkle Ave SE Ste a
Charleston, WV 25304-1808
Phone
(304) 345-8522
Fax
(304) 344-5305
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-0425 WV Primary
Audiologist-Hearing Aid Fitter 237600000X A-0425 WV

Addresses

Primary practice location

4501 Maccorkle Ave SE Ste a
Charleston, WV 25304-1808

Mailing address

4501 Maccorkle Ave SE Ste a
Charleston, WV 25304-1808
Phone (304) 345-8522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007003387 WV Practitioner - Qualified Audiologist 8022549617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
West Virginia University School of Medicine, 2024
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

4501 Maccorkle Ave SE
Suite a
Charleston, WV 25304-1808
Phone (304) 345-8522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-0425WVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Audiology, Inc. Audiologist CurrentSince Aug 1, 2024 Accepting new patients
Ashley Engle, Au.D. Audiology & Hearing Aid Services, L.L.C. Audiologist CurrentSince Feb 16, 2025 Accepting new patients
Greenbrier Audiology, Inc. Audiologist-Hearing Aid Fitter Current Accepting new patients
Greenbrier Audiology and Hearing Aid Services, Inc. Audiologist PastSince May 1, 2024 Accepting new patients

Locations

2216 S Kanawha St
Beckley, WV 25801
Phone (304) 255-6310

4501 Maccorkle Ave SE
Ste A
Charleston, WV 25304
Phone (304) 345-8522

206 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 647-4327

Organizations & group practices 4

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1508605551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SE STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041808",
            "telephone_number": "304-345-8522",
            "fax_number": "304-344-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SE STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041808",
            "telephone_number": "304-345-8522",
            "fax_number": "304-344-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EMMA",
        "middle_name": "LYNN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0425",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WV",
            "license": "A-0425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.