The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Glenbrook and Nevada

1 active clinicians are listed under Speech-Language Pathologist with a practice address in Glenbrook, NV (903 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-07

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events

📍

Updated Practice Location November 07, 2023

Registered at 1711 LOGAN CREEK DRIVE, GLENBROOK, NV 89413 (Tel: 9254877656)

📍

Updated Business Mailing Address November 07, 2023

Registered at P.O. BOX 143, GLENBROOK, NV 89413

📍

Updated Practice Location October 31, 2019

Registered at 210 PORTER DR STE 120, SAN RAMON, CA 94583 (Tel: 9257433322)

📍

Updated Business Mailing Address October 31, 2019

Registered at 210 PORTER DR STE 120, SAN RAMON, CA 945831525

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2019

Speech-Language Pathologist

✅

NPI Profile Active August 29, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 29, 2018

Registered at 2208 CAMINO RAMON, SAN RAMON, CA 945831328 (Tel: 9258305133)

📍

Business Mailing Address (Initial Record) August 29, 2018

Registered at 2208 CAMINO RAMON, SAN RAMON, CA 945831328

👤

Provider Name / Credentials (Initial Record) August 29, 2018

Recorded as MARY MARTINEAU

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Specialist/Technologist (license number reported to NPPES: CA 4619)

🟢

Initial NPI Registration & Enumeration August 29, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679055461

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 29, 2018

Last Update: November 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 143

Glenbrook, NV 89413

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.