Individual provider Active NPI

Mikaela Anna Martinez, CCC SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1609783356
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120810 Issued in TX
Practice address
8324 Cameron Rd
Austin, TX 78754-3990
Phone
(737) 241-0800
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 120810 TX Primary

Addresses

Primary practice location

8324 Cameron Rd
Austin, TX 78754-3990

Mailing address

13709 Dismuke Dr
Manor, TX 78653-1909

Other practice location 1

9306 Great Hills Trl
Austin, TX 78759-7117
Phone (512) 346-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1609783356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13709 DISMUKE DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786531909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543990",
            "telephone_number": "737-241-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9306 Great Hills Trl",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787597117",
            "country_code": "US",
            "telephone_number": "512-346-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MIKAELA",
        "middle_name": "ANNA",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.