ELLIANNE KIMES MARTIN - NPI 1770212342 - Speech-Language Pathologist in Grand Rapids, MI

Q: What is Ellianne Martin's NPI number?

The NPI number for Ellianne Martin is 1770212342. It was assigned to this individual provider in the NPPES registry on June 8, 2022. The provider is also known as Ellianne Elizabeth Kimes.

Q: What is Ellianne Martin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellianne Martin was last updated on June 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ellianne Kimes Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIANNE KIMES MARTIN (NPI 1770212342) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7152000343) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1770212342

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameELLIANNE KIMES MARTIN

Location Address710 KENMOOR AVE SE STE 110Grand Rapids, MI 49546-2379

Mailing Address710 Kenmoor Ave Se Ste 110Grand Rapids, MI 49546-2379 · (616) 591-2905 · Fax (616) 333-2321

Phone(616) 591-2905

Fax(616) 333-2321

Sole ProprietorNo

Enumeration DateJune 8, 2022

NPPES CertifiedJune 8, 2022

✔ NPI 1770212342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7152000343

Definition

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.

710 KENMOOR AVE SE STE 110, Grand Rapids, MI 49546

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Other Names 1

Former Name (1)Ellianne Elizabeth Kimes

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER SAWYER MS, OTR/L

Occupational Therapist