MRS. LISA MARLENE MARTY (NPI# 1619140456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619140456 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARLENE MARTY |
| Credential | MS CCCSLP |
| Practice Address |
2144 County Rd 12 South Buffalo MN 55313 |
| Mailing Address |
2144 County Road 12 South Buffalo MN 55313 |
| Practice Telephone | 7634584315 |
| Practice Fax Number | 7635422280 |
| Mailing Telephone | 7634584315 |
| Mailing Fax Number | 7635422280 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6288 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | V411933831110351 | 01 |
| MN | MEDICA | 4600226 | 01 |
| MN | BCBS | 00072LI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| Street Address |
2144 COUNTY RD 12 SOUTH |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1891905568 | Melissa Rae Hendrickson | Dietitian, Registered | 303 Catlin St., Buffalo, MN 55313 | 2007-05-23 |
| Find all providers in zip 55313 | ||||
| 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 |
|---|---|---|---|---|
| 1649878430 | Jessica F Star | Speech-Language Pathologist | 158 Normal Ave, Buffalo, NY 14213-2518 | 2020-10-13 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1295393429 | Caitlin Mary Myszka | Speech-Language Pathologist | 40 Hazelwood Dr, Buffalo, NY 14228-2230 | 2019-06-03 |
| 1821579442 | Kara Marie Hendrickson | Speech-Language Pathologist | 300 Catlin St Ste 101, Buffalo, MN 55313-2035 | 2018-08-22 |
| 1942791819 | Gwendolyn Furmanek | Speech-Language Pathologist | Bloom Creative Arts and Therapy 3377 Lake Shore Rd, Buffalo, NY 14219 | 2018-05-25 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1760910681 | Gianna Nichole Polanski | Speech-Language Pathologist | 124 Elmwood Ave, Buffalo, NY 14201-1400 | 2017-05-24 |
| 1740713049 | Melanie Redeye | Speech-Language Pathologist | 34 Fruehauf Ave, Buffalo, NY 14226-3804 | 2017-04-04 |
| 1730592338 | Jerry Crowley | Speech-Language Pathologist | 229 Beard Ave, Buffalo, NY 14214-1707 | 2014-06-11 |
| 1295162386 | Kelly C Richardson | Speech-Language Pathologist | 3435 Main Street, 52 Biomedical Education Building, Ub Speech-language and Hearing Clinic, Buffalo, NY 14214-8016 | 2013-10-03 |
| Find all providers in BUFFALO | ||||
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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.