Active NPI
Marni Lynn Johnson Martin, AU.D.
- Audiologist
- Vermillion, SD
National Provider Identifier
1659590503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 315
- Practice address
- 414 E Clark St
Vermillion, SD 57069-2307 - Phone
- (605) 677-5474
- NPI assigned
- Apr 25, 2007
- Last updated
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 315 | SD | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 315 | SD | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 315 | SD | |
| Audiologist-Hearing Aid Fitter | 237600000X | 315 | SD |
Addresses
Primary practice location
414 E Clark St
Vermillion, SD 57069-2307
Mailing address
3164 W Auburn Hills CT
Sioux Falls, SD 57108-1503
Phone (605) 271-0454
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315 | SD | MD | Assistive Technology Supplier Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Dakota | Past | 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": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1659590503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 W AUBURN HILLS CT",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571081503",
"telephone_number": "605-271-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E CLARK ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570692307",
"telephone_number": "605-677-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARNI",
"middle_name": "LYNN JOHNSON",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SD",
"license": "315",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "SD",
"license": "315",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "SD",
"license": "315",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "SD",
"license": "315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vermillion, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.