Akeena Kennette St. Martin, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005235 Issued in GA

Practice address

1775 Parker Rd SE BLDG C
Conyers, GA 30094-6654

Phone

(404) 923-0223

Fax

(833) 924-0340

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Akeena Kennette St. Martin Professional name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

New York College of Osteo Medicine of New York Institute of Technology, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aks Nutrition, LLC.

  • Registered Dietitian
  • Conyers, GA
  • NPI 1477187300
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1235604273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PLUMBRIDGE CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589020",
            "telephone_number": "404-923-0223",
            "fax_number": "833-924-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE BLDG C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "404-923-0223",
            "fax_number": "833-924-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Plumbridge Ct",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300589020",
            "country_code": "US",
            "telephone_number": "404-923-0223",
            "fax_number": "833-924-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. MARTIN",
        "first_name": "AKEENA",
        "middle_name": "KENNETTE",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "GA",
            "license": "LD005235",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKEENA",
            "last_name": "ST. MARTIN",
            "middle_name": "KENNETTE",
            "prefix": "MS.",
            "credential": "MS, RDN, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Dietitian in Conyers, GA
• Providers in Conyers, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.