Olivia Jane Martins, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60975968 Issued in WA

Practice address

12309 22ND St NE
Lake Stevens, WA 98258-9500

Phone

(425) 335-1500

NPI assigned

Aug 30, 2019

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)

Not enrolled

State licenses

Practice roles

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.

• Lake Stevens School District

  • Local Education Agency (LEA)
  • Lake Stevens, WA
  • NPI 1003847005
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1598313751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 12TH PL SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581992",
            "telephone_number": "617-610-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 22ND ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589500",
            "telephone_number": "425-335-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "OLIVIA",
        "middle_name": "JANE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60975968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariams Compassionate Care LLC
• Marie Benoit LMP
• Market Place Chiropractic Wellness Center
• Joyce Anne Marsh
• Candice Leigh Martin
• Nikeyta Marie McCarty, SUDPT
• Kevin Gerald McCoy, D.D.S.
• Lacy Colleen McFalls, LMP
• Leslie Joy McManus, SLP
• Tania Melville, RX TECH

• Speech-Language Pathologist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.