MR. DANIEL ROBERT MARTIN (NPI# 1497101091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101091 |
| Entity Type | Individual |
| Full Name | MR. DANIEL ROBERT MARTIN |
| Credential | R.D. |
| Practice Address |
3217 Mabel St Shreveport LA 71103-4022 |
| Practice Telephone | 3186319121 |
| Practice Fax Number | 3186319688 |
| Mailing Telephone | 3186319121 |
| Mailing Fax Number | 3186319688 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2017-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2767 | LA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 86065516 | LA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198750 | Daniel Martin | Physical Therapy Assistant | 5535 S Williamson Blvd Ste 700, Port Orange, FL 32128-8321 | 2020-03-07 |
| 1477115160 | Daniel Martin | Occupational Therapist | 900 N Ford Rd, Zionsville, IN 46077-1199 | 2019-07-02 |
| 1053804575 | Daniel James Martin | Psychologist | 19 Linwold Dr, West Hartford, CT 06107-1237 | 2018-06-09 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1902237795 | Daniel Martin | Veterinarian | 5610 Blanding Blvd, Jacksonville, FL 32244-1923 | 2013-12-05 |
| 1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
| 1013213354 | Daniel Keith Martin X | Behavioral Analyst | 11912 Amistoso Ln, Las Vegas, NV 89138-4532 | 2011-02-03 |
| 1063746493 | Daniel Martin | Physical Therapist | 3002 Ponteverde Ln, Davis, CA 95618-6528 | 2009-10-02 |
| 1790914166 | Daniel Edward Martin | Speech-Language Pathologist | 111 W Washington St Ste 903, Chicago, IL 60602 | 2009-07-07 |
| 1356555643 | Daniel John Martin | Counselor | 15 Greenfield Ln, Hampton, NY 12837-2106 | 2007-05-09 |
| Street Address |
3217 MABEL ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495822 | Michael Bivens Brannan | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103-4022 | 2005-05-24 |
| 1770083164 | Shreveport Sedation Associates LLC | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2018-02-13 |
| 1275051229 | Dustin Lane Chapman Hadley | Physician Assistant | 3217 Mabel St, Shreveport, LA 71103 | 2017-08-30 |
| 1316492770 | Angela Price Booker | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2016-08-15 |
| 1386997351 | Jeremy Payne Davis | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2012-10-16 |
| 1659677540 | Brandi Barber Stephens | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2011-02-10 |
| 1932349412 | Natravis R. Cox | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103 | 2009-02-24 |
| 1518105774 | Lauren Malu Strange | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2009-01-27 |
| 1922254002 | Joann E Warrick | Colon & Rectal Surgery | 3217 Mabel St, Shreveport, LA 71103 | 2008-08-08 |
| 1821265281 | John Nelken Bienvenu | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| 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 |
|---|---|---|---|---|
| 1861043770 | Savanna Latimer | Dietitian, Registered | 9000 W Wilderness Way Apt 299, Shreveport, LA 71106-6848 | 2019-09-23 |
| 1003362872 | Rosa Cori Anderson | Dietitian, Registered | 1501 Irving Place, Shreveport, LA 71101-4604 | 2016-08-31 |
| 1427402809 | Gwendolyn Michelle Hoppe | Dietitian, Registered | 152 Kayla St, Shreveport, LA 71105-4212 | 2016-04-21 |
| 1639595887 | Ashley Rachal | Dietitian, Registered | 630 Prospect St, Shreveport, LA 71104-3124 | 2014-03-12 |
| 1699052704 | Joyce A Pickett | Dietitian, Registered | 510 E Stoner Ave, Overton Brooks Vamc, Shreveport, LA 71101 | 2011-11-03 |
| 1245400118 | Amanda Bowman | Dietitian, Registered | 9314 Melissa Way, Shreveport, LA 71115-2527 | 2008-03-07 |
| 1265443592 | Shelly Marie Redmond | Dietitian, Registered | 6925 Querbes Dr, Shreveport, LA 71106-2417 | 2006-08-11 |
| 1013524222 | Brittany Hawkins | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-09-30 |
| 1598376873 | Martha Stevens | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-08-11 |
| 1972058170 | Diabetes Assessment and Management Center of Shreveport LLC | Dietitian, Registered | 1560 Irving Pl, Shreveport, LA 71101-4604 | 2016-08-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.