Meredith Martin, BA, LMT, BCHN, CDSP

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

00826 Issued in RI

Practice address

136 W Main Rd
Middletown, RI 02842-4985

Phone

(401) 862-1042

NPI assigned

Aug 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

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.

• Essential Bodywork

  • Massage Therapist
  • Middletown, RI
  • NPI 1679121065
  NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1295453132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424985",
            "telephone_number": "401-862-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424985",
            "telephone_number": "401-862-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "BA, LMT, BCHN, CDSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "RI",
            "license": "00826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonette Lyn Marshall, L.C.S.W.
• Elizabeth Evelyn Marshall, MSW
• Jennifer Danielle Marshburn
• Debra Ann Martin, PTA
• Kristin Elizabeth Martin, LMHC
• Stefane Silva Matos, DMD
• Matt'S Coastal Pharmacy LLC
• Matt'S Coastal Pharmacy LLC
• Maxi Drug South LP
• Charles Francis McCaffrey, D.D.S.

• Reproductive Endocrinology Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Reproductive Endocrinology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.