MICHAEL BLAKE


Address: 2400 32nd Ave S, Fargo, ND 58103-5800
Phone: 7012342245

MICHAEL BLAKE (NPI# 1154894434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154894434
Entity Type Individual
Full Name MICHAEL BLAKE
Credential MS, RD, LRD
Practice Address 2400 32nd Ave S
Fargo
ND 58103-5800
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 7012342245
Enumeration Date 2019-01-09
Last Update Date 2020-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1187 ND Dietary & Nutritional Service Providers

Other Providers MICHAEL BLAKE

NPI Name Taxonomy Address Enumeration
1831161264 Michael G Blake Optometrist 124 W Coal Ave, Gallup, NM 87301-6206 2006-02-01
1861876963 Michael Blake Psychologist 25 Main St., Office 322, Stockbridge, MA 01262-0962 2015-07-17
1013217231 Michael Blake Counselor 201 W Springdale Ave, Knoxville, TN 37917-5158 2010-10-22
1417111493 Michael Laurence Blake Internal Medicine 600 River Ave, Lakewood, NJ 08701-5237 2008-07-18
1225205230 Michael Scott Blake Emergency Medicine 300 Main St, Lewiston, ME 04240-7027 2008-05-09
1588855803 Michael Todd Blake Emergency Medicine 250 Hospital Place, Central Peninsula Hospital, Soldotna, AK 99669 2007-08-05
1457394736 Michael C. Blake Emergency Medicine 2018 W Clinch Ave, Knoxville, TN 37916-2301 2006-06-14
1578513701 Michael Joseph Blake Pediatrics 206 Alaska Frontage Rd, Belgrade, MT 59714-7909 2006-05-10
1063474955 Michael Clarence Blake Surgery 2790 Godwin Blvd, Ste 305, Suffolk, VA 23434-8151 2006-04-05
1265411896 Michael John Blake Anesthesiology 6001 E Broad St, Columbus, OH 43213-1502 2006-01-12

Office Location

Street Address 2400 32ND AVE S
City FARGO
State ND
Zip Code 58103-5800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982693875 Chris L Cleveland Pediatrics 2400 32nd Ave S, Fargo, ND 58103-5800 2005-10-14
1306456470 Darcy Thompson Registered Nurse 2400 32nd Ave S, Fargo, ND 58103-5800 2020-08-04
1457988636 Lisa Aipperspach Dietitian, Registered 2400 32nd Ave S, Fargo, ND 58103-5800 2020-03-26
1588298525 Adriane Maag Carney Acupuncturist 2400 32nd Ave S, Fargo, ND 58103-5800 2020-02-28
1255961090 Bailey June Hanson Physician Assistant 2400 32nd Ave S, Fargo, ND 58103-5800 2020-01-21
1013564624 Erin Marie Wilmes Nurse Practitioner 2400 32nd Ave S, Fargo, ND 58103-5800 2019-08-20
1346896016 Ashley Jobe Physical Therapist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-08-17
1194371377 Casey Murphy Physical Therapist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-08-14
1316507221 Evan Lee Zacharias I Physical Therapist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-06-13
1801455449 Danielle Swanson Physician Assistant 2400 32nd Ave S, Fargo, ND 58103-5800 2019-06-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
Find all providers in zip 58103

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003446329 Alexis Ann Allen Dietitian, Registered 1749 38th St S, Fargo, ND 58103-4442 2020-01-26
1487171245 Presticor, Inc. Dietitian, Registered 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 2017-08-23
1558882092 Stephanie E Scott Dietitian, Registered 2701 University Dr S, Fargo, ND 58103-6027 2017-07-06
1912234071 Mary Monica Russell Dietitian, Registered 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 2009-11-11
1629221395 Joan Pietron Carlisle Dietitian, Registered 2121 Elm Street North, Fargo Va Medical Center, Fargo, ND 58102 2008-10-28
1619133832 Mary F Larson Dietitian, Registered 306 4th Street North, Fargo, ND 58102-4820 2008-08-07
1386829844 Jackie R Griffiths Dietitian, Registered 4474 23rd Ave S Ste M, Fargo, ND 58104-8795 2008-01-03
1437103959 Robin J Sickels Dietitian, Registered 737 Broadway, Fargo, ND 58122-0001 2006-05-20
1881295814 Kelsey Kincaid Dietitian, Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-11-05
1639786742 Sam Lucas Scardigli Dietitian, Registered 1600 University Dr N, Fargo, ND 58105-2502 2020-09-23
Find all providers in FARGO

Competitor

Search similar providers

City FARGO
Zip Code 58103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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