Active NPI
Jenifer Lyn Thompson-Martinez
- Speech-Language Pathologist
- Palmdale, CA
National Provider Identifier
1790087476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10203
- Practice address
- 3166 E Palmdale Blvd Ste 112
Palmdale, CA 93550-5038 - Phone
- (661) 274-8454
- Fax
- (661) 274-7614
- NPI assigned
- Dec 1, 2010
- 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 | 10203 | CA | Primary |
Addresses
Primary practice location
3166 E Palmdale Blvd Ste 112
Palmdale, CA 93550-5038
Mailing address
3166 East Palmdale Blvd Suite 112
Palmdale, CA 93550
Phone (661) 274-8454
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Solutions and Dyslexia Center, PC | Speech-Language Pathologist | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Palmdale, CA
- NPI 1265711998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1790087476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3166 EAST PALMDALE BLVD SUITE 112",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93550",
"telephone_number": "661-274-8454",
"fax_number": "661-274-7614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3166 E PALMDALE BLVD STE 112",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935505038",
"telephone_number": "661-274-8454",
"fax_number": "661-274-7614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON-MARTINEZ",
"first_name": "JENIFER",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "10203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.