Active NPI
Marta Graham, RDN, LDN
- Registered Dietitian
- Wilmington, NC
National Provider Identifier
1609393487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD5506
- Practice address
- 905 Fresnel Run
Wilmington, NC 28412-3726 - Phone
- (513) 460-0912
- NPI assigned
- Aug 23, 2017
- Last updated
- Jul 11, 2025
- 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 | LD5506 | OH | Primary |
Addresses
Primary practice location
905 Fresnel Run
Wilmington, NC 28412-3726
Mailing address
905 Fresnel Run
Wilmington, NC 28412-3726
Phone (513) 460-0912
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 |
|---|---|---|---|
| LD5506 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nutrition in Motion | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1609393487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 FRESNEL RUN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123726",
"telephone_number": "513-460-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 FRESNEL RUN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123726",
"telephone_number": "513-460-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "MARTA",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD5506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.