Natalie Martin, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86173382

Practice address

5508 NW Moonlight Meadow Dr
Lees Summit, MO 64064-1283

Phone

(417) 209-4540

NPI assigned

Feb 2, 2023

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

Master of Science

State licenses

Practice roles

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.

• Creatively Well LLC

  • Registered Dietitian
  • Lees Summit, MO
  • NPI 1942172614

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1326744129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 NW MOONLIGHT MEADOW DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641283",
            "telephone_number": "417-209-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 NW MOONLIGHT MEADOW DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641283",
            "telephone_number": "417-209-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NATALIE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019024877",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86173382",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Martin
• Caroline Lucille Martin, D.O.
• Haley Elizabeth Martin, MSAT, LAT, ATC
• Mark W Martin, MD
• Michelle Martin, PLPC
• Sarah Martin, M.S. CCC-SLP
• Heather Marie Maruska, PHARMD
• Kristin Marx, PHARMD
• Amy Jo Masiongale, CRNA
• Stacey Mason, LPC

• Registered Dietitian in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.