Active NPI
Alison Marie Martin, RD CDN
- Registered Dietitian
- Manchester, CT
National Provider Identifier
1457548968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 71 Haynes Street
Sodexo at Manchester Memorial Hospital
Manchester, CT 06040 - Phone
- (860) 646-1222
- Fax
- (860) 647-6857
- NPI assigned
- Sep 28, 2007
- 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 | Primary |
Addresses
Primary practice location
71 Haynes Street
Sodexo at Manchester Memorial Hospital
Manchester, CT 06040
Mailing address
125 Diamond Ledge Rd
Stafford Springs, CT 06076-3112
Phone (860) 646-1222
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1457548968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DIAMOND LEDGE RD",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060763112",
"telephone_number": "860-646-1222",
"fax_number": "860-647-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES STREET",
"address_2": "SODEXO AT MANCHESTER MEMORIAL HOSPITAL",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-646-1222",
"fax_number": "860-647-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALISON",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RD CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.