KELLY MARTIN
NPI 1336580109
Dietitian, Registered in Kent, WA

Q: What is Kelly Martin's NPI number?

The NPI number for Kelly Martin is 1336580109. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Q: What is Kelly Martin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Martin was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2013

6642 S 193RD PL STE N106, KENT, WA 98032(206) 486-4867 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Apr 20, 2021, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

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About Kelly Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARTIN (NPI 1336580109) is an individual dietitian, registered in Kent, Washington and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1336580109

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY MARTIN

Location Address6642 S 193RD PL STE N106Kent, WA 98032-3109

Mailing AddressPo Box 22881Seattle, WA 98122-0881 · (206) 486-4867 · Fax (206) 743-0948

Phone(206) 486-4867

Sole ProprietorNo

Enumeration DateJuly 9, 2013

Last NPPES UpdateMay 5, 20226 updates tracked since enumeration

NPPES CertifiedMay 5, 2022

✔ NPI 1336580109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

6642 S 193RD PL STE N106, Kent, WA 98032

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN PHILLIPS NUTRITION, LLC

Dietitian, Registered