Individual provider Active NPI

Kelly Martin

  • Registered Dietitian
  • Kent, WA
National Provider Identifier
1336580109
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6642 S 193Rd PL Ste N106
Kent, WA 98032-3109
Phone
(206) 486-4867
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5616 MN
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

6642 S 193Rd PL Ste N106
Kent, WA 98032-3109

Mailing address

PO Box 22881
Seattle, WA 98122-0881
Phone (206) 486-4867

Other practice location 1

3525 Monterey Dr
St Louis Park, MN 55416-5275
Phone (952) 993-6200

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Attune Nutrition, PLLC Dietitian, Registered CurrentSince Apr 1, 2021 Accepting new patients

Locations

6642 S 193rd Pl
Ste N106
Kent, WA 98032
Phone (206) 486-4867

753 N 35th St
Ste 105
Seattle, WA 98103

753 N 35th St
Ste 204
Seattle, WA 98103
Phone (206) 225-9820

5608 17th Ave NW
Seattle, WA 98107
Phone (206) 569-0801

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1336580109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22881",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981220881",
            "telephone_number": "206-486-4867",
            "fax_number": "206-743-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 S 193RD PL STE N106",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323109",
            "telephone_number": "206-486-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Monterey Dr",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554165275",
            "country_code": "US",
            "telephone_number": "952-993-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "5616",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.