ANGELIQUE M MARTIN (L.D.) – Registered Dietitian, NPI 1669570552
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OK
Provider Addresses for ANGELIQUE M MARTIN (L.D.)
3501 24th Ave NW Ste 101
Norman, OK 730696665
Phone: (405) 801-2542
Fax: (405) 801-2564
Type: Location
3435 NW 56th St Ste 303
Oklahoma City, OK 731124414
Phone: (405) 606-2850
Fax: (405) 606-2855
Type: Location
2000 S Wheeling Ave Ste 920
Tulsa, OK 741045649
Phone: (918) 947-5980
Fax: (918) 746-2230
Type: Location
5414 W Pinnacle Pointe Dr Ste 300
Rogers, AR 727588956
Phone: (479) 268-4979
Fax: (479) 268-4998
Type: Location
321, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73114, United States
OKLAHOMA CITY, OK 731208300
Phone: (405) 748-4726
Fax: (405) 607-8497
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040209000127 | I | Registered Dietitian Or Nutrition Professional | OK | TBD |
| I20180830003328 | I | Registered Dietitian Or Nutrition Professional | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Nurse Practitioner | AL | |
| - | OK | |
| Certified Nurse Midwife (Cnm) | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Certified Nurse Midwife (Cnm) | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK |
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