DA KIDNEY DIETITIAN LLC
NPI 1982578340
Dietitian, Registered in Altamonte Springs, FL

Active since September 30, 2025
816 RENAISSANCE POINTE, ALTAMONTE SPRINGS, FL 32714(650) 332-0023 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Da Kidney Dietitian Llc NPPES

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

DA KIDNEY DIETITIAN LLC (NPI 1982578340) is a healthcare organization registered as a dietitian, registered in Altamonte Springs, Florida and active in the NPI registry since September 2025. The organization lists Niurka Martinez, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1982578340
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameDA KIDNEY DIETITIAN LLC
Location Address816 RENAISSANCE POINTEAltamonte Springs, FL 32714-3536
Mailing Address1070 Montgomery Rd Unit 329Altamonte Springs, FL 32714-7420 · (650) 332-0023
Organization SubpartNo
Authorized OfficialNiurka MartinezRegistered Dietitian · (650) 332-0023
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1982578340 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.
816 RENAISSANCE POINTE, Altamonte Springs, FL 32714

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Da Kidney Dietitian Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Da Kidney Dietitian LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1972365104
719 RODEL CV STE 2001
Lake Mary, FL 32746
(407) 302-3115
10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Da Kidney Dietitian LLC's NPI number?

The NPI number for Da Kidney Dietitian LLC is 1982578340. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Da Kidney Dietitian LLC located?

Da Kidney Dietitian LLC is located at 816 Renaissance Pointe, Altamonte Springs, FL 32714. The listed phone number is (650) 332-0023.

What is Da Kidney Dietitian LLC's specialty?

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

Is Da Kidney Dietitian LLC enrolled in Medicare?

Yes. Da Kidney Dietitian LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Da Kidney Dietitian LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Da Kidney Dietitian LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Da Kidney Dietitian LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.