Individual provider Active NPI

Marina Janell Martinez, SLP

  • Speech-Language Pathologist
  • Deming, NM
National Provider Identifier
1649013921
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SAH-2025-0245 Issued in NM
Practice address
122 S Gold Ave Ste a
Deming, NM 88030-3755
Phone
(575) 283-0200
Fax
(575) 283-0238
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 SAH-2025-0245 NM Primary

Addresses

Primary practice location

122 S Gold Ave Ste a
Deming, NM 88030-3755

Mailing address

122 S Gold Ave Ste a
Deming, NM 88030-3755
Phone (575) 283-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000524 NM Practitioner - Qualified Speech Language Pathologist 6800332156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vida Therapy Group, LLCGroup PAC ID 7810377579, 3 clinicians

Practice addresses (Care Compare)

122 S Gold Ave
Suite a
Deming, NM 88030-3755
Phone (575) 283-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Therapy Group, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

122 S Gold Ave
Ste A
Deming, NM 88030
Phone (575) 283-0200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1649013921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S GOLD AVE STE A",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303755",
            "telephone_number": "575-283-0200",
            "fax_number": "575-283-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GOLD AVE STE A",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303755",
            "telephone_number": "575-283-0200",
            "fax_number": "575-283-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARINA",
        "middle_name": "JANELL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2025-0245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.