Active NPI
Raquel Martinez, M.A. CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1730438425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105303
- Practice address
- 904 W. Johanna St.
Unit a
Austin, TX 78704 - Phone
- (512) 773-2929
- NPI assigned
- Sep 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105303 | TX | Primary |
Addresses
Primary practice location
904 W. Johanna St.
Unit a
Austin, TX 78704
Mailing address
904 W. Johanna St.
Unit a
Austin, TX 78704
Phone (512) 773-2929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16705905 | Other | TX | DRIVER LICENSE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105303 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1730438425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 W. JOHANNA ST.",
"address_2": "UNIT A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-773-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 W. JOHANNA ST.",
"address_2": "UNIT A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-773-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "RAQUEL",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "16705905",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.