Active NPI
Shena Laughland Wileman Martin, M.A.,C.C.C.-A
- Audiologist
- Fresno, CA
National Provider Identifier
1811950991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU380
- Practice address
- 1351 E Spruce Ave
Fresno, CA 93720-3342 - Phone
- (559) 256-0200
- NPI assigned
- Apr 10, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU380 | CA | Primary |
Addresses
Primary practice location
1351 E Spruce Ave
Fresno, CA 93720-3342
Mailing address
3021 Magnolia Ave
Clovis, CA 93611-6016
Phone (559) 287-0690
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380 | CA | MD | Professional Counselor |
| AU380 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1811950991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 MAGNOLIA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116016",
"telephone_number": "559-287-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 E SPRUCE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203342",
"telephone_number": "559-256-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SHENA",
"middle_name": "LAUGHLAND WILEMAN",
"name_prefix": "Mrs.",
"credential": "M.A.,C.C.C.-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.