Individual provider Active NPI

Theresa Maria Martinez, B.S.; M.S.

  • Speech-Language Pathologist
  • Vail, AZ
National Provider Identifier
1801080759
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPL4687 Issued in AZ
Practice address
13801 E Benson Hwy
Vail, AZ 85641-9074
Phone
(520) 879-3647
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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 SLPL4687 AZ Primary

Addresses

Primary practice location

13801 E Benson Hwy
Vail, AZ 85641-9074

Mailing address

13801 E Benson Hwy
Vail Unified School District #20
Vail, AZ 85641-9074
Phone (520) 879-3647

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
SLPL4687AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Unified School District Past Accepting new patients
Vail Unified School District Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1801080759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 E BENSON HWY",
            "address_2": "VAIL UNIFIED SCHOOL DISTRICT #20",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856419074",
            "telephone_number": "520-879-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 E BENSON HWY",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856419074",
            "telephone_number": "520-879-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "THERESA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "B.S.; M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL4687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.