Provider Demographics
NPI:1194353128
Name:MARTIN-AYOADE, CLAUDIA (RDN, LD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:MARTIN-AYOADE
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13710 W 120TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5689
Mailing Address - Country:US
Mailing Address - Phone:913-269-7853
Mailing Address - Fax:
Practice Address - Street 1:13710 W 120TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5689
Practice Address - Country:US
Practice Address - Phone:913-269-7853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1838133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered