MRS. BRENDA MARTIN (NPI# 1417134107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417134107 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA MARTIN |
| Practice Address |
10387 W. Shadow Rock Drive Boise ID 83714 |
| Practice Telephone | 2089392208 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1451 | ID | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981700 | Brenda Kay Martin | Technician | 171 Chesapeake Rd, Fairmont, WV 26554-9699 | 2020-10-29 |
| 1689231813 | Brenda Martin | Student in an Organized Health Care Education/Training Program | 322 Woodlawn Dr, Fairborn, OH 45324-4137 | 2019-05-22 |
| 1164987541 | Brenda Martin | Registered Nurse | 25820 Southfield Rd Ste 111, Southfield, MI 48075-1800 | 2019-02-10 |
| 1164702916 | Brenda J. Martin | Massage Therapist | 7476 S Broadway, Red Hook, NY 12571-1772 | 2011-08-25 |
| 1124288121 | Brenda Hatfield Martin | Occupational Therapy Assistant | 1217 Augusta St, Charlottesville, VA 22903-5106 | 2008-06-12 |
| 1053496406 | Brenda K Martin | Social Worker | 127 N Green St, Statesville, NC 28677-5375 | 2006-10-26 |
| 1063403970 | Brenda Rae Martin | Pharmacist | Osawatomie State Hospital, Rt 1 Box 500, Osawatomie, KS 66064 | 2005-10-31 |
| 1407841000 | Brenda Martin | Nurse Practitioner | 586 Moorestown Dr, Bath, PA 18014-9713 | 2005-09-20 |
| 1689275745 | Brenda Martin | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-05 |
| 1861021206 | Brenda Martin | Case Manager/Care Coordinator | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-04-07 |
| Street Address |
10387 W. SHADOW ROCK DRIVE |
| City | BOISE |
| State | ID |
| Zip Code | 83714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573809 | Jaclyn Christine Harmon | Speech-Language Pathologist | 8620 W Emerald St Ste 100, Boise, ID 83704-4838 | 2020-06-22 |
| 1770063521 | Stephanie M Thomas | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2018-08-20 |
| 1285128546 | Sara Bergsma Speech Pathology, LLC | Speech-Language Pathologist | 10873 W Seneca Dr, Boise, ID 83709-3946 | 2018-06-20 |
| 1689168445 | Boise Speech Tree, LLC | Speech-Language Pathologist | 1015 W Hays St Ste 104, Boise, ID 83702-5412 | 2018-06-15 |
| 1598257651 | Kelly Marie Howard | Speech-Language Pathologist | 4120 N Creswell Way, Boise, ID 83713-2403 | 2018-06-05 |
| 1265937551 | Agave Speech and Language Services LLC | Speech-Language Pathologist | 1747 N Fairmeadow Dr, Boise, ID 83704-7007 | 2018-03-28 |
| 1134663008 | Kara Marie Nixon | Speech-Language Pathologist | 6289 S Hollyhock Way, Boise, ID 83716-7077 | 2016-12-13 |
| 1619349545 | Carla Motley | Speech-Language Pathologist | 1720 N Westgate Dr Ste D, Boise, ID 83704-7164 | 2015-10-30 |
| 1093181257 | Leslie Ann Johnson | Speech-Language Pathologist | 13176 W Persimmon Ln Ste 120, Boise, ID 83713-5027 | 2015-08-11 |
| 1023415171 | Christy Baltazor | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2014-12-03 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.