Shakyra Tatyana Martin

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306

Phone

(803) 341-8343

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Embrace Body Fitness & Nutrition LLC

  • Nutritionist
  • North Augusta, SC
  • NPI 1912875568
  NPD Authorized official
• Embrace Body Fitness & Nutrition LLC

  dba Embrace Body

  • Nutritionist
  • North Augusta, SC
  • NPI 1851133888
  NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1366014854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 EDGEFIELD RD STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298605306",
            "telephone_number": "803-341-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 EDGEFIELD RD STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298605306",
            "telephone_number": "803-341-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHAKYRA",
        "middle_name": "TATYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302611321",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850000309",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nichole Mahan, DC
• Paul S. Maia, D.C.
• Stephanie Mann, FNP-C
• Zachary Alba Marana, DMD
• Chad T Marley, M.D.
• Masters Infusion, LLC (Vital Care Infusion Services)
• Michelle Matteson, RN BSN
• Ernest Fredrick Mattison, LPC-I
• Kimberly Emia May, NP
• Imani Mayo Gaskins

• Nutritionist in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Nutritionist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.