Jennifer Lynn Martin, MA CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11884 Issued in FL

Practice address

7232 SW 39TH Ter
Miami, FL 33155-6624

Phone

(786) 409-3254

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jennifer Lynn Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Core Connections Therapy, LLC

  • Speech-Language Pathologist
  • Silver Springs, FL
  • NPI 1053006981
  NPD Authorized official
• Breakthrough Therapy, LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1649661679

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1982971842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344890277",
            "telephone_number": "785-546-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 SW 39TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556624",
            "telephone_number": "786-409-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1267",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018692",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014269200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACKSON",
            "middle_name": "LYNN",
            "credential": "MA CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Idania Martin, DNP, ARNP, ANP-BC
• Ivan Martin, LMT
• Jasmine Martin
• Javier Martin, MASSAGE THERAPIST
• Jelshon L. Martin, MSN, APRN, FNP-C
• Jessica Martin, LMHC
• Jocelyn Martin, BEHAVIOR ANALYST
• Jose Celestino Martin, MD
• Jose Luis Martin Sr.
• Jose Manuel Martin, RN

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.