NPIMap

Organization Active NPI

Eleanor Martino Voice and Speech PLLC

  • Speech-Language Pathologist
  • Fredericksburg, VA
National Provider Identifier
1962774489
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202004561 Issued in VA
Legal business name
ELEANOR MARTINO VOICE AND SPEECH PLLC
Practice address
4107 Lafayette Blvd
Suite 3
Fredericksburg, VA 22408-4266
Phone
(540) 220-7501
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Eleanor MartinoNPI 1235275405
Title
Owner
Phone
(540) 220-7501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2202004561 VA Primary

Addresses

Primary practice location

4107 Lafayette Blvd
Suite 3
Fredericksburg, VA 22408-4266

Mailing address

320 Tulip PL
Fredericksburg, VA 22408-1559

National Provider Directory

National Provider Directory

Locations

4107 Lafayette Blvd
Ste 3
Fredericksburg, VA 22408
Phone (540) 220-7501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1962774489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TULIP PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 LAFAYETTE BLVD",
            "address_2": "SUITE 3",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084266",
            "telephone_number": "540-220-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR MARTINO VOICE AND SPEECH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-220-7501"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.