Active NPI
Elizabeth Imelda Martinez
- Counselor
- Graham, WA
National Provider Identifier
1780298885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 21120 Meridian Ave E
Graham, WA 98338-8254 - Phone
- (253) 285-4750
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
21120 Meridian Ave E
Graham, WA 98338-8254
Mailing address
10102 115TH St SW
Lakewood, WA 98498-1616
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1780298885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10102 115TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984981616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21120 MERIDIAN AVE E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388254",
"telephone_number": "253-285-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ELIZABETH",
"middle_name": "IMELDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.