Active NPI
Theresa Maria Martinez, B.S.; M.S.
- Speech-Language Pathologist
- Vail, AZ
National Provider Identifier
1801080759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPL4687
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPL4687 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Corona, AZ
- NPI 1760644256
-
- Local Education Agency (LEA)
- Vail, AZ
- NPI 1952438368
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.