Jaime Martin, RD
Individual provider Active NPI Registered Dietitian · Tamuning, GU
NPI 1457842452 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1457842452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 388 Ypao Rd
Tamuning, GU 96913-3701 - Phone
- (671) 646-8881
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
388 Ypao Rd
Tamuning, GU 96913-3701
Mailing address
21255 Meadow Oaks LN
Colfax, CA 95713-9797
Phone (530) 401-5497
Other providers in Tamuning, GU
- Mariano Prime LLC
- Arthur Surla Mariano
- Jeremy D. Mariano
- Ligaya Mariano
- Ma. Hasmine Joy Zapanta Mariano
- Jeanelle Martinez
- David K. Marutani
- Kristy Joy Quiros Mary
- Lenora Matanane
- Annakutty Mathew
All providers in Tamuning, GU · Registered Dietitian in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.