SAMANTHA MARTINEZ (NPI# 1831559145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831559145 |
| Entity Type | Individual |
| Full Name | SAMANTHA MARTINEZ |
| Credential | RDN, LD |
| Practice Address |
3401 W Gore Blvd Lawton OK 73505-6332 |
| Practice Telephone | 5803558699 |
| Practice Fax Number | 5805855461 |
| Mailing Telephone | 5803558699 |
| Mailing Fax Number | 5805855461 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86024851 | OK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757327 | Samantha Nicole Martinez | Counselor | 10500 Sherman Grove Ave Apt 204, Sunland, CA 91040-3407 | 2019-05-30 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1255305504 | Samantha S Martinez | Counselor | 97 Holmes Street, Quincy, MA 02171 | 2006-02-14 |
| 1265033641 | Samantha Martinez | Pharmacist | 12639 Blanco Rd, San Antonio, TX 78216-8103 | 2020-11-03 |
| 1568062487 | Samantha Martinez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2020-10-29 |
| 1588289045 | Samantha Martinez | Occupational Therapist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2020-06-10 |
| 1629603295 | Samantha Marie Martinez | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1285271585 | Samantha Lyndsay Martinez | Nurse Practitioner | 226 N Union Ave, New Braunfels, TX 78130-4450 | 2019-12-05 |
| 1821633264 | Samantha Martinez | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2019-11-08 |
| Street Address |
3401 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735777 | Kathleen Marie Feeley | Nurse Anesthetist, Certified Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2005-07-27 |
| 1437768280 | Jordan Nixon | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-28 |
| 1275151953 | Tiffany Fletcher Legako | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-09 |
| 1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
| 1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
| 1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
| 1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
| 1790305456 | Ethan Jernigan | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1144840802 | Lyndi Fisher | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1629607320 | Jordan Renee Price | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1992108773 | Jaymi Smith | Dietitian, Registered | 3811 W Gore Blvd Ste 10, Lawton, OK 73505-6328 | 2014-10-07 |
| 1699106963 | Candace Benson | Dietitian, Registered | 105 Ne 52nd St, Lawton, OK 73507-7371 | 2013-12-11 |
| 1588920086 | Catherine Ann Gray | Dietitian, Registered | 595 Water Ski Dr, Lawton, OK 73501-5535 | 2012-04-09 |
| 1427671783 | Michelle Dukette | Dietitian, Registered | 4301 Wilson St, Lawton, OK 73503-4472 | 2020-05-21 |
| 1457993008 | Shawnee Sade Sweeney | Dietitian, Registered | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2019-10-15 |
| 1306338918 | Lauren Hickman | Dietitian, Registered | 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 | 2018-05-31 |
| 1760906127 | Nutritious Solutions LLC | Dietitian, Registered | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2017-07-27 |
| 1528462777 | Ashley Towe | Dietitian, Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2014-10-17 |
| 1861822074 | Courtney Drevo | Dietitian, Registered | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2013-11-25 |
| Find all providers in LAWTON | ||||
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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.