Assistive Technology Initiatives

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1429 Issued in NM

Legal business name

ASSISTIVE TECHNOLOGY INITIATIVES

Practice address

612 Little Rabbit
Aztec, NM 87410-3108

Phone

(505) 330-6443

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer I Martin, MA, CCC-SLP

Title

SLP/Ceo

Phone

(505) 330-6443

Specialties & licenses 1

Addresses

Other names 1

• ATi Other name

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1629479274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 LITTLE RABBIT",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874103108",
            "telephone_number": "505-330-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 LITTLE RABBIT",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874103108",
            "telephone_number": "505-330-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTIVE TECHNOLOGY INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SLP/CEO",
        "authorized_official_telephone_number": "505-330-6443",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Aztec, NM
• Providers in Aztec, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.