Individual provider Active NPI

Alexandra Elainne Martinez, RDN, LDN

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1720847320
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10561 Issued in FL
Practice address
652 NW 129TH Ave
Miami, FL 33182-1169
Phone
(305) 742-6805
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 10561 FL Primary

Addresses

Primary practice location

652 NW 129TH Ave
Miami, FL 33182-1169

Mailing address

652 NW 129TH Ave
Miami, FL 33182-1169
Phone (305) 742-6805

Other practice location 1

955 NW 3rd St
Miami, FL 33128-1274
Phone (305) 548-4020 ext. 2256

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
10561FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Root & Bloom Wellness Dietitian, Registered CurrentSince Mar 17, 2024 Accepting new patients
My Functional Dietitian LLC Dietitian, Registered CurrentSince Sep 5, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1720847320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 NW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821169",
            "telephone_number": "305-742-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 NW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821169",
            "telephone_number": "305-742-6805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 NW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331281274",
            "country_code": "US",
            "telephone_number": "305-548-4020 x2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALEXANDRA",
        "middle_name": "ELAINNE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "10561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.