Adriana Alicia Martinez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107366 Issued in TX

Practice address

622 S 6TH St
Kingsville, TX 78363-5523

Phone

(956) 222-8204

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adriana Alicia Cavazos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• One World Children's Rehab

  • Hearing and Speech Clinic/Center
  • Kingsville, TX
  • NPI 1598425167
  NPD Authorized official
• Little Lighthouse Childrens Rehab

  dba Little Lighthouse Children's Rehab, LLC

  • Rehabilitation Clinic/Center
  • Alice, TX
  • NPI 1811260193
  NPD (past)
• Little Lighthouse Childrens Rehab

  • Rehabilitation Clinic/Center
  • Los Fresnos, TX
  • NPI 1942398151
  NPD (past)
• Mercy Rehab Services Inc

  dba Mercy Kids Rehab

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1467259309

  Speech-Language Pathologist

  NPD (past)
• Mercy Rehab Services Inc.

  dba Mercy Kids Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
  • NPI 1508821406
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1841554243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S 6TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635523",
            "telephone_number": "956-222-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S 6TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635523",
            "telephone_number": "956-222-8204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Main St",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324969",
            "country_code": "US",
            "telephone_number": "361-396-4029",
            "fax_number": "361-396-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ADRIANA",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "107366",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "CAVAZOS",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• M Pharmacy Inc (Prescription Center)
• Moises Guadalupe Maldonado Jr., LBSW
• Luke Markert, PTA
• Marizelda Gomez Marroquin, M.S., CCC-SLP
• Fred Martin, M.D.
• Gabriela Martinez, CCC-SLP
• Jennifer Marie Mascorro, M.S., CCC-SLP
• Cecil David Matthews, PHARMD
• Ernest C McCall III, DDS
• Abbi Adair McClellan, PTA

• Speech-Language Pathologist in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.