Eda V Martin, RDN, MS, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

913851

Practice address

4228 249TH CT SE
Sammamish, WA 98029-5792

Phone

(310) 308-4463

NPI assigned

Nov 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Sobras Restaurant Group LLC

  • Nutritionist
  • Seattle, WA
  • NPI 1154137321
  Medicare reassignment NPD Authorized official
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Strategic Nutrition

  • Registered Dietitian
  • Lake Oswego, OR
  • NPI 1679823108

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1992528871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 249TH CT SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980295792",
            "telephone_number": "310-308-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 249TH CT SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980295792",
            "telephone_number": "310-308-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDA",
        "middle_name": "V",
        "credential": "RDN, MS, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "913851",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "913851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia S Mack-Ernsdorff, LMHC,LMFT,CDP,HP
• Millicent Mackonya, CB
• Margaret Piela Consulting PLLC
• Margaret Piela LMHC PLLC
• Debra M Marovich, RPH
• Gregory Kyle Martin, D.C.
• Tracey Diane Martin, MS, CN
• Emily K Matson, MS, RDN, CD
• Shauna Mazzulla, O.D.
• David McAuley, MD

• Registered Dietitian in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.