Angelica Martinez Luis, MS, RDN, CD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI61446443 Issued in WA

Practice address

5404 192ND St SW
Lynnwood, WA 98036-5404

Phone

(405) 471-4704

NPI assigned

Jul 8, 2020

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Medical Consultants, PLLC

  dba Itinerant Primary Care

  • General Practice Physician
  • Dallas, TX
  • NPI 1346839859

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1558989335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 192ND ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365404",
            "telephone_number": "405-471-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "ANGELICA",
        "middle_name": "MARTINEZ",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD2381",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61446443",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "DI61446443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiufen Lu, LMP
• Michelle Lucas
• Roger W Lucas, DDS
• Amanda Leigh Ludtke
• Denise M Lugo-Camann, MD
• Natalia Lukashova, D.P.D
• Luke Daining, DDS, PLLC (Crosspoint Dental Center)
• Melanie Luker, OTR/L
• Chuyi Luliang
• Luna Nurse Delegation PLLC

• Registered Dietitian in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.