Marti Leanne Rodriguez, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT04597 Issued in TX

Practice address

1204 N Mound St
Nacogdoches, TX 75961-4027

Phone

(936) 569-4106

Fax

(936) 569-4647

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1942581756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-569-4106",
            "fax_number": "936-569-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-569-4106",
            "fax_number": "936-569-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARTI",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Quinn Robinson, MD
• Rock Haven Nursing Home, Inc.
• Johnpaul Rodrigues, PT, DPT
• Carolina Rodriguez-Vargas, LMSW
• Alejandro Rodriguez, MS, LAT, ATC
• Kenedy Etta Rogers
• Rogue Prosthetics, LLC
• Salena Rothenberger
• RRK Health Solution
• Kira Rubin, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.