Individual provider Active NPI

Rosmary Martinez, LD/N

  • Nutritionist
  • West Palm Beach, FL
National Provider Identifier
1710376991
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND7130 Issued in FL
Practice address
1825 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-6058
Phone
(561) 213-3275
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND7130 FL Primary
Registered Dietitian 133V00000X ND 7130 FL

Addresses

Primary practice location

1825 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-6058

Mailing address

1825 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-6058
Phone (561) 213-3275

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND7130FLMDNutritionist
ND 7130FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1710376991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066058",
            "telephone_number": "561-213-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066058",
            "telephone_number": "561-213-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROSMARY",
        "name_prefix": "Mrs.",
        "credential": "LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND7130",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 7130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.