Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MRS. SUSAN D MARTIN RD/LD/CDE
NPI 1679578546
Registered Nurse - Diabetes Educator in Wichita, KS
Active since June 16, 2005
About Mrs. Susan D Martin Rd/ld/cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN D MARTIN RD/LD/CDE (NPI 1679578546) is an individual diabetes educator provider in Wichita, Kansas, licensed in Kansas (588) and active in the NPI registry since June 2005.
NPPES Registry Identity
NPI1679578546
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMRS. SUSAN D MARTINCredential: RD/LD/CDE
Location Address200 S HILLSIDEWichita, KS 67211
Mailing Address200 S HillsideWichita, KS 67211 · (316) 687-3125 · Fax (316) 687-0286
Phone(316) 687-3125
Fax(316) 687-0286
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1679578546 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in KS · 588
200 S HILLSIDE, Wichita, KS 67211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679578546, enumerated as an "individual" on June 16, 2005.
The provider is located at 200 S HILLSIDE WICHITA, KS 67211 and the phone number is (316) 687-3125.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.
