SAMUEL MARTINEZ (NPI# 1871002659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871002659 |
| Entity Type | Individual |
| Full Name | SAMUEL MARTINEZ |
| Credential | RD |
| Practice Address |
11109 Parkview Plaza Dr. Fort Wayne IN 46846 |
| Mailing Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Practice Telephone | (260) 266-2593 |
| Mailing Telephone | 2602662593 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86049228 | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197937 | Samuel Martinez | Massage Therapist | 1554 Wabash Rd, Alviso, CA 95002-9500 | 2018-03-15 |
| 1902447782 | Samuel Martinez | Pharmacist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-10-03 |
| 1053761155 | Samuel Nectali Martinez | Counselor | 9990 County Farm Rd, Suite 5, Riverside, CA 92503-3542 | 2016-06-20 |
| 1811355951 | Samuel Martinez | Rehabilitation Practitioner | 506 W Jackman St, Lancaster, CA 93534-2531 | 2016-02-03 |
| 1043687742 | Samuel Martinez | Community Health Worker | 21260 N. 1450 E., Moroni, UT 84646-0383 | 2015-08-28 |
| 1952797565 | Samuel Martinez | Radiology | Msc 10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-09 |
| 1194051136 | Samuel Martinez | Pharmacist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2009-10-27 |
| 1861612780 | Samuel C Martinez | Social Worker | 1501 Fruitvale Ave, Oakland, CA 94601 | 2007-04-26 |
| Street Address |
11109 PARKVIEW PLAZA DR. |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494971 | Roger Scott Stienecker | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2005-08-16 |
| 1861980211 | Jesse Christman | Pharmacist | 11109 Parkview Plaza Dr., Inpatient Pharmacy, Fort Wayne, IN 46845 | 2018-05-01 |
| 1275811457 | Shiva Gauchan | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2011-07-22 |
| 1568695054 | Reena Thapa | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2009-08-31 |
| 1205089414 | Maria Ferling Curfman | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2008-10-31 |
| 1992954986 | Natosha E. Minick | Registered Nurse | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2008-09-15 |
| 1306000351 | Jitendra Sah | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1707 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1629679170 | Gentlemind Health Services | Clinic/Center | 3635 Lake Ave, Fort Wayne, IN 46805-5539 | 2020-11-02 |
| 1710587548 | Laura Raquel Rochford | Social Worker | 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 | 2020-10-30 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1629677604 | Dameta Diane Williams | Massage Therapist | 3525 Lake Ave, Fort Wayne, IN 46805-5599 | 2020-10-21 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1033717293 | Eva Marie Richardville | Occupational Therapist | 311 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2020-10-10 |
| 1417555640 | Kara Peas | Physical Therapist | 11104 Parkview Circle Dr Ste 50, Fort Wayne, IN 46845-1733 | 2020-10-10 |
| Find all providers in FORT WAYNE | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1154981389 | Rebecca Paden | Dietitian, Registered | 1315 Directors Row Ste 210, Fort Wayne, IN 46808-1284 | 2019-06-19 |
| 1821592221 | Katherine Hake | Dietitian, Registered | 2220 Lima Plank Pkwy, Fort Wayne, IN 46818-8968 | 2018-03-20 |
| 1730533852 | Charlene Ann Burian | Dietitian, Registered | 3213 Twisted Branch Pl, Fort Wayne, IN 46804-3436 | 2016-04-14 |
| 1164880746 | Kandi Denise Dawson | Dietitian, Registered | 2520 E. Dupont Rd, Nutrition Services, Fort Wayne, IN 46825 | 2016-02-10 |
| 1437517083 | Julie West | Dietitian, Registered | 2520 East Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-02-10 |
| 1972968295 | Alison Johnson | Dietitian, Registered | 1833 Midsummer Night Cv, Fort Wayne, IN 46818-8469 | 2015-12-31 |
| 1053776344 | Tiane Bianski | Dietitian, Registered | 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 | 2015-12-31 |
| 1750623591 | Courtney Rinehold | Dietitian, Registered | 1607 Glacier Ridge Rd, Fort Wayne, IN 46845-9720 | 2013-03-19 |
| 1346541562 | Diane E Glass | Dietitian, Registered | 11141 Parkview Plaza Dr Ste 305b, Fort Wayne, IN 46845-1713 | 2010-11-04 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46846 |
Please comment or provide details below to improve the information on SAMUEL MARTINEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.