Active NPI
Stella F Martinez, CLINICAL FELLOW
- Speech-Language Pathologist
- Espanola, NM
National Provider Identifier
1972775484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- C-4218
- Practice address
- 714 Calle Don Diego
Espanola, NM 87532-3414 - Phone
- (505) 367-3342
- NPI assigned
- Mar 25, 2008
- 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 | C-4218 | AZ | Primary |
Addresses
Primary practice location
714 Calle Don Diego
Espanola, NM 87532-3414
Mailing address
PO Box 882
Santa Cruz, NM 87567-0882
Phone (505) 927-2025
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 |
|---|---|---|---|
| C-4218 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1972775484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 882",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "875670882",
"telephone_number": "505-927-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 CALLE DON DIEGO",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323414",
"telephone_number": "505-367-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "STELLA",
"middle_name": "F",
"credential": "CLINICAL FELLOW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "C-4218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.