KELLY MARTIN (NPI# 1336580109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336580109 |
| Entity Type | Individual |
| Full Name | KELLY MARTIN |
| Practice Address |
753 N 35th St Ste 105 Seattle WA 98103-8870 |
| Practice Telephone | (206) 745-9663 |
| Practice Fax Number | 2067430948 |
| Mailing Telephone | (206) 745-9663 |
| Mailing Fax Number | 2067430948 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14715 Bel Red Rd, Building G, Suite 102, Bellevue, WA 980073940 | 4252090593 | 4252090593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1376900654 | Kelly Ann Martin | Counselor | 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 | 2016-01-18 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Street Address |
753 N 35TH ST STE 105 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386109981 | Ashley Marie Lorraine Zimmerman | Counselor | 753 N 35th St Ste 105, Seattle, WA 98103-8889 | 2019-02-07 |
| 1528572104 | Kelly Martin Nutrition Therapy, Pllc | Dietitian, Registered | 753 N 35th St Ste 105, Seattle, WA 98103-8889 | 2017-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1679170096 | Taisha Bell | Dietitian, Registered | 300 1st Ave W Apt 303, Seattle, WA 98119-4375 | 2020-10-08 |
| 1225645427 | Virginia A Turner | Dietitian, Registered | 434 Ne 73rd St Apt 1/2, Seattle, WA 98115-5331 | 2020-09-30 |
| 1326653734 | Julie Duli Kim | Dietitian, Registered | 4220 S Trenton St, Seattle, WA 98118-4921 | 2020-09-11 |
| 1750996252 | Geneva Curry | Dietitian, Registered | 3006 Nw Market St Apt 5, Seattle, WA 98107-4222 | 2020-09-10 |
| 1679187066 | Sara C Woolcock | Dietitian, Registered | 1800 15th Ave S Unit B, Seattle, WA 98144-4214 | 2020-09-02 |
| 1275150773 | Miranda Duffy Eriksen | Dietitian, Registered | 4235 Francis Ave N Apt 204, Seattle, WA 98103-7126 | 2020-06-30 |
| 1790302610 | Clare Bawden | Dietitian, Registered | 7408 28th Ave Nw, Seattle, WA 98117-5951 | 2020-06-26 |
| 1366068744 | Tracey Kmiecik | Dietitian, Registered | 5450 Leary Ave Nw Apt 643, Seattle, WA 98107-4081 | 2020-06-22 |
| Find all providers in SEATTLE | ||||
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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.