Active NPI
Therese Martinez, RD
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1356945505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86057783
- Practice address
- 141 S Poplar St Apt D
Spokane, WA 99201-5850 - Phone
- (360) 790-9976
- NPI assigned
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86057783 | WA | Primary |
Addresses
Primary practice location
141 S Poplar St Apt D
Spokane, WA 99201-5850
Mailing address
141 S Poplar St Apt D
Spokane, WA 99201-5850
Phone (360) 790-9976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230906001954 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 7810350006 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86057783 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1356945505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 S POPLAR ST APT D",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992015850",
"telephone_number": "360-790-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S POPLAR ST APT D",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992015850",
"telephone_number": "360-790-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "THERESE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "86057783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.