Suzanne Clark Martin, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000001196 Issued in TN

Practice address

2331 Molly TRL
Murfreesboro, TN 37128-8521

Phone

(615) 896-8119

Fax

(615) 896-8119

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1588850606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MOLLY TRL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371288521",
            "telephone_number": "615-896-8119",
            "fax_number": "615-896-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MOLLY TRL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371288521",
            "telephone_number": "615-896-8119",
            "fax_number": "615-896-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SUZANNE",
        "middle_name": "CLARK",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000001196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3080757",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "46-00008",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Lavee Martin, ACNP-BC
• Megan Martin
• Rhonda W Martin, RPH
• Sarah Vaughn Martin, MPP, RDN,LDN
• Serge Barry Martin, OD
• Todd Matthew Martin, DMD
• Zachary Ryan Martin, PHARMD
• Kyle Martinelli
• Cindy Ramos Martinez
• Gwendalyn Marx-Lamm

• Speech-Language Pathologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.