Martha Lemus-Medina Villwock, MA., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005361 Issued in GA

Practice address

4243 Dunwoody Club Dr
Suite 104
Atlanta, GA 30350-5206

Phone

(770) 901-9949

Fax

(770) 901-9932

NPI assigned

Dec 29, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1619207438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888193",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303560193",
            "telephone_number": "770-901-9949",
            "fax_number": "770-901-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 DUNWOODY CLUB DR",
            "address_2": "SUITE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505206",
            "telephone_number": "770-901-9949",
            "fax_number": "770-901-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLWOCK",
        "first_name": "MARTHA",
        "middle_name": "LEMUS-MEDINA",
        "name_prefix": "Mrs.",
        "credential": "MA., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Villarreal, NP-C
• Niko Villatoro-Young
• Rachel Villena, RN
• Tara Villinger, FNP-BC
• Kimberly N Villio, PHARM D.
• Susan Thomas Vimawala, SLP
• Vincent E. Boswell MD, P.C.
• Vincent N. Zubowicz, M.D., P.C.
• Gabriel Lucas Vincent
• Jimmie Vincent

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.