Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992692008 Individual Practitioner Female Practitioner

Shannon Marie Martin , RD

Dietitian, Registered • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Shannon Martin, RD is a registered healthcare professional specializing in Dietitian, Registered in Boardman, OH. Practice services are available at 6505 MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6505 Market St

Boardman, OH 445123457

Telephone 3307468100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Boardman, OH (2603 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-20
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License None 86079255

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.

Dietitian, Registered - Nutrition, Pediatric

NUCC Taxonomy Code: 133VN1004X

State License None 86079255

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Logan Ison , PT, DPT

Physical Therapist - Sports

NPI 1124957246

Physical Therapist, Doctor of Physical Therapy

Dr. Kelsey Brocker , PsyD

Psychologist - Clinical

NPI 1174009336

Doctor of Psychology (Psy.D.)

NPI 1285675736

Doctor of Medicine (M.D.)

Emily Best , APRN-CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366187908

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1376531434

Doctor of Osteopathic Medicine (D.O.)

Abigail Dinh

Pediatrics

NPI 1447835384

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2025

Registered at 6505 MARKET ST, BOARDMAN, OH 445123457 (Tel: 3307468100)

📍
Updated Business Mailing Address June 20, 2025

Registered at 875 AFTON AVE, YOUNGSTOWN, OH 445122404 (Tel: 7243016913)

👤
Provider Name / Credentials Updated June 20, 2025

Recorded as SHANNON MARTIN, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2025

Dietitian, Registered (License #86079255 in None)

🟢
Initial NPI Registration & Enumeration June 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992692008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2025
Last Update: June 20, 2025
Sole Proprietor: No

Mailing Address

875 Afton Ave

Youngstown, OH 445122404

Phone: 7243016913

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.