Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRACI KRISTINE MARTIN MS CCC-SLP
NPI 1770664815
Speech-Language Pathologist in Teutopolis, IL

Q: What is Traci Martin's NPI number?

The NPI number for Traci Martin is 1770664815. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Traci Kristine Gamblin Ms Ccc-Slp.

Q: What is Traci 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 Traci Martin was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006Accepts Medicare Assignment

114 E WALNUT ST, TEUTOPOLIS, IL 62467(720) 545-8160 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Traci Kristine Martin Ms Ccc-slp NPPES

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

TRACI KRISTINE MARTIN MS CCC-SLP (NPI 1770664815) is an individual speech-language pathologist provider in Teutopolis, Illinois, licensed in Illinois (146008086) and active in the NPI registry since October 2006. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1770664815

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTRACI KRISTINE MARTINCredential: MS CCC-SLP

Location Address114 E WALNUT STTeutopolis, IL 62467-1154

Mailing Address114 E Walnut StTeutopolis, IL 62467-1154 · (720) 545-8160

Phone(720) 545-8160

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 17, 2006

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1770664815 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

Licenses✔ Licensed in IL · 146008086✔ Licensed in TN · 4963

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.

114 E WALNUT ST, Teutopolis, IL 62467

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Other Names 1

Former Name (1)Traci Kristine Gamblin Ms Ccc-slp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Traci Kristine Martin Ms Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103048590

PECOS Enrollment IDI20250505000905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Martin's NPI number?

The NPI number for Traci Martin is 1770664815. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Traci Kristine Gamblin Ms Ccc-Slp.

Where is Traci Martin located?

Traci Martin practices at 114 E Walnut St, Teutopolis, IL 62467. The listed phone number is (720) 545-8160.

What is Traci Martin's specialty?

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

Is Traci Martin enrolled in Medicare?

Yes. Traci Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Traci Martin was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.