Active NPI
Martha Belknap, RD, CDN
- Registered Dietitian
- Southampton, NY
National Provider Identifier
1508113036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006692-1
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8626
- NPI assigned
- Aug 15, 2012
- Last updated
- Aug 15, 2012
- 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 | 006692-1 | NY | Primary |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
34 Waterview CT
Riverhead, NY 11901-6312
Phone (631) 269-4649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006692-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1508113036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 WATERVIEW CT",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119016312",
"telephone_number": "631-269-4649",
"fax_number": "631-544-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685009",
"telephone_number": "631-726-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELKNAP",
"first_name": "MARTHA",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006692-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.