Individual provider Active NPI

Martha Isabel Turell

  • Speech-Language Pathologist
  • Gibsonton, FL
National Provider Identifier
1710232079
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11253 Issued in FL
Practice address
6927 Waterbrook CT
Gibsonton, FL 33534-3924
Phone
(631) 258-9425
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 SA11253 FL Primary

Addresses

Primary practice location

6927 Waterbrook CT
Gibsonton, FL 33534-3924

Mailing address

6927 Waterbrook CT
Gibsonton, FL 33534-3924
Phone (631) 258-9425

Other names 1

  • Ms. M Isabel Turell 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

State licenses

LicenseStateTypeSpecialty
SA11253FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1710232079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 WATERBROOK CT",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343924",
            "telephone_number": "631-258-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 WATERBROOK CT",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343924",
            "telephone_number": "631-258-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURELL",
        "first_name": "MARTHA",
        "middle_name": "ISABEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "TURELL",
            "middle_name": "ISABEL",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gibsonton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.