Jennifer Michelle Martin, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

124635 Issued in KY

Practice address

8885 State Road 237
Tell City, IN 47586-8567

Phone

(812) 547-0157

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: strive.jennifermartin@146104.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1134579329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 RAINTREE DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423018633",
            "telephone_number": "270-993-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 STATE ROAD 237",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868567",
            "telephone_number": "812-547-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Alabama St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042275",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2771 E US Highway 6 Ste B",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467559341",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Main St Ste 1810",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022927",
            "country_code": "US",
            "telephone_number": "270-240-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2022031497",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10218925",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002688A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "124635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mahayla Long, RBT
• Suellen N Malone, NP
• Marcrum Family Healthcare LLC
• William Marcrum, MD
• Mark J. Flannagan DDS PC
• Linda Sue Mathena, RN
• Janelle L Meade, APRN
• Medexpress Urgent Care, P.C. - Indiana
• Medical Services of America Inc
• Midwest Emergency Tell City, Inc

• Registered Dietitian in Tell City, IN
• Providers in Tell City, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.