Stephanie Martinez, RD, LD, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86318 Issued in TX

Practice address

1620 McClelland Ave
Laredo, TX 78040-4630

Phone

(956) 337-0237

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1699394254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 AIDIN ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780453404",
            "telephone_number": "956-337-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MCCLELLAND AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780404630",
            "telephone_number": "956-337-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Aidin St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780453404",
            "country_code": "US",
            "telephone_number": "956-337-0237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STEPHANIE",
        "credential": "RD, LD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-308307",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Martinez, M.D.
• Rosa M Martinez
• Rosa Maria Martinez
• Ryan Martinez
• San Juanita Martinez
• Stephanie Michelle Martinez, PHARMD
• Valerie Marie Martinez, D.D.S.
• Yesenia Isela Martinez
• Yvette Martinez, B.S., SLP ASSISTANT
• Michelle Mas Kildare, MD

• Registered Dietitian in Laredo, TX
• Providers in Laredo, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.