Active NPI
Cheryl Anne Martin
- Speech-Language Pathologist
- Presque Isle, ME
National Provider Identifier
1912209602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1232
- Practice address
- 79 Maple Grove Rd
Presque Isle, ME 04769-5032 - Phone
- (207) 702-6220
- NPI assigned
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | SP1232 | ME | Primary |
Addresses
Primary practice location
79 Maple Grove Rd
Presque Isle, ME 04769-5032
Mailing address
79 Maple Grove Rd
Presque Isle, ME 04769-5032
Phone (207) 702-6220
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 |
|---|---|---|---|
| SP1232 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1912209602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MAPLE GROVE RD",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047695032",
"telephone_number": "207-702-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MAPLE GROVE RD",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047695032",
"telephone_number": "207-702-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHERYL",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP1232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.