Individual provider Active NPI

Alyssa Ann Martinez, MS CF-SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1578394201
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SAH-2023-0031 Issued in NM
Practice address
10320 Cottonwood Park NW Ste a
Albuquerque, NM 87114-7008
Phone
(505) 250-5204
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SAH-2023-0031 NM Primary

Addresses

Primary practice location

10320 Cottonwood Park NW Ste a
Albuquerque, NM 87114-7008

Mailing address

515 McKnight Ave NW
Albuquerque, NM 87102-1326
Phone (505) 554-4632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000495 NM Practitioner - Qualified Speech Language Pathologist 9133636780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Neuropsychology and Behavioral Health, LLCGroup PAC ID 9638353170, 12 clinicians

Practice addresses (Care Compare)

5951 Jefferson St NE
Suite C
Albuquerque, NM 87109-3450
Phone (505) 247-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SAH-2023-0031NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuropsychology and Behavioral Health, LLC Single Specialty CurrentSince May 18, 2025 Accepting new patients
House Calls of New Mexico LLC Single Specialty CurrentSince May 18, 2025 Accepting new patients

Locations

5951 Jefferson St NE
Ste C
Albuquerque, NM 87109
Phone (505) 247-4900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1578394201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MCKNIGHT AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021326",
            "telephone_number": "505-554-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 COTTONWOOD PARK NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871147008",
            "telephone_number": "505-250-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "MS CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2023-0031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.