TRACI KRISTINE MARTIN (NPI# 1770664815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770664815 |
| Entity Type | Individual |
| Full Name | TRACI KRISTINE MARTIN |
| Other Name | TRACI KRISTINE GAMBLIN |
| Credential | MS CCC-SLP |
| Practice Address |
536 Old Howell Rd Greenville SC 29615-1969 |
| Mailing Address |
2202 Falcon Creek Dr Franklin TN 37067-4098 |
| Practice Telephone | 8775083237 |
| Mailing Telephone | 7205458160 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4963 | TN | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 146008086 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494600 | Traci Martin | Case Manager/Care Coordinator | 4611 E 52nd Dr Apt 123, Vernon, CA 90058-5534 | 2016-05-05 |
| 1164889010 | Traci Martin | Advanced Practice Midwife | 8845 Six Pines Dr, Shenandoah, TX 77380-2675 | 2016-01-23 |
| 1144602640 | Traci Lynn Martin | Nurse Practitioner | 1001 Hadley Rd, Suite Ll050, Mooresville, IN 46158-1883 | 2015-06-22 |
| 1285848507 | Traci Lynn Martin | Physical Therapist | 500 15th Ave S, Benefis Therapy Center, Great Falls, MT 59405-4324 | 2007-05-09 |
| 1427170927 | Traci Martin | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2007-04-04 |
| Street Address |
536 OLD HOWELL RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142148 | April Snyder Williams | Physical Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2005-08-27 |
| 1780200287 | Anne Teresa Cahill | Occupational Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2020-06-19 |
| 1972142032 | Michelle Turnof | Developmental Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2020-01-06 |
| 1073165361 | Maria Sheila Galea-bernhardt | Occupational Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2019-07-16 |
| 1942861851 | Keith Black | Physical Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2019-06-23 |
| 1487213963 | Lisa Good Banish | Occupational Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2019-06-10 |
| 1831757251 | Amanda Hutchison | Occupational Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2019-05-31 |
| 1861984809 | Elizabeth E Mayhew | Physical Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2018-06-05 |
| 1366952038 | Christy Rae Vineberg | Occupational Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2017-10-06 |
| 1265965628 | Healthpro Heritage, LLC | Physical Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 |
|---|---|---|---|---|
| 1780299552 | Mary Atchison | Speech-Language Pathologist | 127 Walnut Street, Greenville, MO 63944 | 2020-09-09 |
| 1467063321 | Alexia Walton | Speech-Language Pathologist | 359 Loop St, Greenville, SC 29609-4579 | 2020-08-13 |
| 1134737331 | Small Talk Pediatric Speech Therapy, LLC | Speech-Language Pathologist | 138 Sunset Dr, Greenville, SC 29605-1913 | 2020-07-14 |
| 1609493154 | Mikayla Michael | Speech-Language Pathologist | 10 Jimmy Doolittle Drive Ste B, Greenville, SC 29607-2622 | 2020-07-01 |
| 1063044824 | Terri Elbaum | Speech-Language Pathologist | 22 Guyencourt Rd, Greenville, DE 19807-1416 | 2020-02-10 |
| 1679112718 | Monique Gadsby | Speech-Language Pathologist | 7208 Three Springs Trl, Greenville, SC 29615-6752 | 2020-01-06 |
| 1467097857 | The Speech Group, LLC | Speech-Language Pathologist | 35 W Tallulah Dr, Greenville, SC 29605-1843 | 2019-11-09 |
| 1225670144 | Lynn Garton Hooker | Speech-Language Pathologist | 1605 E Reed Rd, Greenville, MS 38703-7230 | 2019-10-11 |
| 1588218762 | Addison Wyndham Lee | Speech-Language Pathologist | 117 Chipwood Ln, Greenville, SC 29615-1256 | 2019-07-26 |
| 1952954083 | Kidz Speech & Beyond, Pllc | Speech-Language Pathologist | 4004 Jared Ct, Greenville, NC 27858-8340 | 2019-07-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on TRACI KRISTINE MARTIN.
| 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.