Individual provider · Type 1 NPI

Shannon Marie Martin, RD

Registered Dietitian · Boardman, OH

NPI number 1992692008 Active

Practice location

6505 Market St
Boardman, OH 44512-3457

Mailing address

875 Afton Ave
Youngstown, OH 44512-2404

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian 133VN1004X86079255
Registered Dietitian Primary 133V00000X86079255

Registered Dietitian: 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…

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About NPI 1992692008

Shannon Marie Martin, RD's National Provider Identifier is 1992692008, issued on Jun 20, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Boardman, OH. The record was last updated on Jun 20, 2025.