Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Martinez, MPPD, RDN, LD

Individual provider Registered Dietitian · NPI 1720861545

Blake Martinez, MPPD, RDN, LD is a Registered Dietitian in Coralville, Iowa. Licensed in Iowa. Registered with an NPI since 2023.

Licensed in
IA
In the registry since
2023
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

105 E 9th St
Coralville, IA 52241-2209
Phone: (319) 467-2000
Fax: (319) 467-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 121813 (IA)

Record details

NPI number1720861545
Entity typeIndividual (Type 1)
GenderMale
Credentials MPPD , RDN , LD
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESApril 12, 2024
Certification dateSeptember 30, 2023

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