Olivia Martin, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61164516 Issued in WA

Practice address

317 NW Gilman Blvd Ste 50
Issaquah, WA 98027-2485

Phone

(206) 799-7831

NPI assigned

Apr 30, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Eastside Therapy Services

  • Behavior Analyst
  • Issaquah, WA
  • NPI 1750846861

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1902489685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 5TH AVE N APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096121",
            "telephone_number": "971-409-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD STE 50",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272485",
            "telephone_number": "206-799-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "OLIVIA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61164516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig P. Martin, PA-C
• Judith Tia Martin, L.M.P.
• Kathryn R. Martin, PA-C
• Kelly Kathleen Martin, MD
• Mya Martin
• Sarah Vivian Martin, CNM, ARNP, DNP
• Sara Mashburn
• Jennifer Masters, M.A., L.M.H.C.
• Michael Mastromonica, R.PH.
• Erin Mathias

• Speech-Language Pathologist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.