Active NPI
Teresa Marie Martinez, RD, CD
- Registered Dietitian
- Price, UT
National Provider Identifier
1992993869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5748433-4901
- Practice address
- 28 S 100 E
Price, UT 84501-3002 - Phone
- (435) 637-3671
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5748433-4901 | UT | Primary |
Addresses
Primary practice location
28 S 100 E
Price, UT 84501-3002
Mailing address
625 W 200 S
Price, UT 84501-3205
Phone (435) 650-9455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6545 999000021033 | Medicaid | UT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5748433-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1992993869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W 200 S",
"city": "PRICE",
"state": "UT",
"postal_code": "845013205",
"telephone_number": "435-650-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 S 100 E",
"city": "PRICE",
"state": "UT",
"postal_code": "845013002",
"telephone_number": "435-637-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "5748433-4901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6545 999000021033",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.