Individual provider Active NPI

Kelsey Lynn Martin

  • Speech-Language Pathologist
  • Santa Monica, CA
National Provider Identifier
1972272235
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
34012 Issued in CA
Practice address
1223 Wilshire Blvd
Santa Monica, CA 90403-5406
Phone
(731) 453-4706
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI61214057 WA
Speech-Language Pathologist 235Z00000X 34012 CA Primary

Addresses

Primary practice location

1223 Wilshire Blvd
Santa Monica, CA 90403-5406

Mailing address

1223 Wilshire Blvd
Santa Monica, CA 90403-5406
Phone (731) 453-4706

Other practice location 1

20818 44th Ave W # 270-H
Lynnwood, WA 98036-7709
Phone (425) 672-9219

Other practice location 2

20818 44th Ave W Ste 270
Lynnwood, WA 98036-7709
Phone (425) 672-9219

Other practice location 3

6965 San Luis Ave
Atascadero, CA 93422-5201
Phone (805) 591-7188

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

State licenses

LicenseStateTypeSpecialty
34012CAMDSpeech-Language Pathologist
SI61214057WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Pediatric Rehab Services LLC Speech-Language Pathologist PastSince Nov 19, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1972272235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "731-453-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "731-453-4706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20818 44th Ave W # 270-H",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980367709",
            "country_code": "US",
            "telephone_number": "425-672-9219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20818 44th Ave W Ste 270",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980367709",
            "country_code": "US",
            "telephone_number": "425-672-9219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6965 San Luis Ave",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934225201",
            "country_code": "US",
            "telephone_number": "805-591-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI61214057",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.