Active NPI
Drienie Grobbelaar Martinez, MS, RDN, LDN
- Registered Dietitian
- Cary, NC
National Provider Identifier
1114460698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004929
- Practice address
- 1100 NW Maynard Rd
Suite 140
Cary, NC 27513-8706 - Phone
- (919) 238-4554
- NPI assigned
- Dec 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004929 | NC | Primary |
Addresses
Primary practice location
1100 NW Maynard Rd
Suite 140
Cary, NC 27513-8706
Mailing address
1100 NW Maynard Rd
Suite 140
Cary, NC 27513-8706
Phone (919) 238-4554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659760338 | Other | NC | ANNE TILL CONSULTING LLC ORGANIZATIONAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004929 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1114460698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NW MAYNARD RD",
"address_2": "SUITE 140",
"city": "CARY",
"state": "NC",
"postal_code": "275138706",
"telephone_number": "919-238-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NW MAYNARD RD",
"address_2": "SUITE 140",
"city": "CARY",
"state": "NC",
"postal_code": "275138706",
"telephone_number": "919-238-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DRIENIE",
"middle_name": "GROBBELAAR",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANNE TILL CONSULTING LLC ORGANIZATIONAL NPI",
"identifier": "1659760338",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.