Individual provider Active NPI

Olga L Martinez, A-SLP

  • Speech-Language Assistant
  • El Paso, TX
National Provider Identifier
1538465232
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
35953 Issued in TX
Practice address
6601 Montana Ave
Suite G & H
El Paso, TX 79925-2155
Phone
(915) 838-7604
Fax
(915) 772-4633
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 35953 TX Primary

Addresses

Primary practice location

6601 Montana Ave
Suite G & H
El Paso, TX 79925-2155

Mailing address

6601 Montana Ave
Suite G & H
El Paso, TX 79925-2155
Phone (915) 838-7604

Other identifiers 2

IdentifierTypeStateIssuer
207164901MedicaidTX
149984001MedicaidTX

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
35953TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1538465232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MONTANA AVE",
            "address_2": "SUITE G & H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252155",
            "telephone_number": "915-838-7604",
            "fax_number": "915-772-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MONTANA AVE",
            "address_2": "SUITE G & H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252155",
            "telephone_number": "915-838-7604",
            "fax_number": "915-772-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "OLGA",
        "middle_name": "L",
        "credential": "A-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.