Charisse Martin, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85078 Issued in TX

Practice address

1001 Rone Dr Ste 2
Weslaco, TX 78596-5043

Phone

(956) 802-7476

Fax

(956) 447-1035

NPI assigned

Mar 7, 2018

Last updated

Nov 4, 2021By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Nutrition Solutions LLCGroup PAC ID 1557781614, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Complete Nutrition Solutions LLC

  • Registered Dietitian
  • Mission, TX
  • NPI 1427675818

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD
• H-E-B, LP

  dba Heb Pharmacy #425

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1760984603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MONTE CRISTO RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785418630",
            "telephone_number": "956-802-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RONE DR STE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965043",
            "telephone_number": "956-802-7476",
            "fax_number": "956-447-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHARISSE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08QM04501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria T Ramirez, MD, PA
• Josefa Marquez
• Julissa Alexandria Martell, BS ASST SLP
• Martha Garcia and Violeta Aguirre Dba Nuestra Fe Adult Day Care
• Martha Nivia Pena (Siempre Unidos Adult Day Care)
• Abdel Martinez Borrego, M.D.
• Alexandra Miroslava Martinez Torres, MS, RDN, LD
• Alicia Martinez
• April Martinez
• Dora Martinez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.