Individual provider Active NPI

Niurka M Martinez, MS, RDN, LDN

  • Registered Dietitian
  • Lake Mary, FL
National Provider Identifier
1972365104
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND11341 Issued in FL
Practice address
719 Rodel CV Ste 2001
Lake Mary, FL 32746-5716
Phone
(407) 302-3115
Fax
(321) 203-4602
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 9793 NY
Registered Dietitian 133V00000X ND11341 FL Primary

Addresses

Primary practice location

719 Rodel CV Ste 2001
Lake Mary, FL 32746-5716

Mailing address

719 Rodel CV Ste 2001
Lake Mary, FL 32746-5716
Phone (407) 302-3115

Other practice location 1

816 Renaissance Pointe
Altamonte Springs, FL 32714-3536
Phone (914) 320-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204002583 FL Practitioner - Registered Dietitian Or Nutrition Professional 2961981592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1070 Montgomery Rd
Unit 329
Altamonte Springs, FL 32714-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND11341FLMDRegistered Dietitian
9793NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Jan 1, 2026 Accepting new patients
Da Kidney Dietitian LLC Dietitian, Registered CurrentSince Oct 5, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1070 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 504-7121

719 Rodel Cv
Ste 2001
Lake Mary, FL 32746
Phone (407) 302-3106

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 3

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1972365104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 RODEL CV STE 2001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-302-3115",
            "fax_number": "321-203-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 RODEL CV STE 2001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-302-3115",
            "fax_number": "321-203-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Renaissance Pointe",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327143536",
            "country_code": "US",
            "telephone_number": "914-320-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NIURKA",
        "middle_name": "M",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "9793",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND11341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.