Individual provider Active NPI

Devan Martin

  • Speech-Language Pathologist
  • Mountain View, MO
National Provider Identifier
1962038836
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
910 E James St Apt B
Mountain View, MO 65548-7271
Phone
(573) 721-1583
NPI assigned
Mar 22, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MO Primary

Addresses

Primary practice location

910 E James St Apt B
Mountain View, MO 65548-7271

Mailing address

910 E James St Apt B
Mountain View, MO 65548-7271

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Devan.Martin@Aegistherapies.com Aegis Therapies

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

Interoperability endpoints

  • Direct secure messaging: devan.martin.p1@direct.jordanvalley.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962038836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E JAMES ST APT B",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655487271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E JAMES ST APT B",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655487271",
            "telephone_number": "573-721-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEVAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Devan.Martin@Aegistherapies.com",
            "affiliation": "Y",
            "affiliationName": "Aegis Therapies",
            "address_1": "910 E James St Apt B",
            "city": "Mountain View",
            "state": "MO",
            "country_code": "US",
            "postal_code": "655487271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain View, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.