Individual provider Active NPI

Annie Rose Martines, CF-SLP

  • Speech-Language Pathologist
  • Northglenn, CO
National Provider Identifier
1619530128
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14145110
Practice address
11160 Huron St Ste 200
Northglenn, CO 80234-3335
Phone
(720) 872-6472
NPI assigned
Apr 19, 2019
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 14145110 Primary

Addresses

Primary practice location

11160 Huron St Ste 200
Northglenn, CO 80234-3335

Mailing address

11160 Huron St Ste 200
Northglenn, CO 80234-3335
Phone (720) 872-6472

Other identifiers 1

IdentifierTypeStateIssuer
14145110OtherASHA

Other names 1

  • Ms. Anna Rose Martines Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Therapy Services of Colorado, Inc. Speech-Language Pathologist PastSince May 7, 2024 Accepting new patients

Organizations & group practices 1

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1619530128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 200",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-872-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 200",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-872-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINES",
        "first_name": "ANNIE",
        "middle_name": "ROSE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "14145110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14145110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MARTINES",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.