BLAKE M HERRON (NPI# 1679105514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679105514 |
| Entity Type | Individual |
| Full Name | BLAKE M HERRON |
| Credential | DTR |
| Practice Address |
300 Pecore St Apt 21 Houston TX 77009-6247 |
| Practice Telephone | 8322575524 |
| Mailing Telephone | 8322575524 |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 86169937 | TX | Dietary & Nutritional Service Providers |
| Street Address |
300 PECORE ST APT 21 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77009-6247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389962 | La Nueva Casa De Amigos | Dentist | 1809 N Main Street, Houston, TX 77009 | 2018-03-14 |
| 1710404405 | Lisa Dassler | Massage Therapist | 4909 Cochran Street, Houston, TX 77009 | 2017-08-24 |
| 1063732493 | Jonathan Dale Boyd | Pathology | 4608 Michaux St, Houston, TX 77009 | 2010-06-08 |
| 1730416165 | Dignified Nursing Home Health Care Agency, LLC | Home Health | 3229 Houston Avenue, Houston, TX 77009 | 2009-11-05 |
| 1720223571 | Michael Paul Doerflein | Social Worker | 2015 Thomas St., Houston, TX 77009 | 2008-12-09 |
| 1255543781 | Sheela Ann Confait | Occupational Therapist | 1201 E 23 Rd Str, Houston, TX 77009 | 2007-05-04 |
| 1376688093 | Jane Jui-chin Gan | Dentist | 1809 North Main, La Casa Nueva De Amigos, Houston, TX 77009 | 2007-02-20 |
| 1235274952 | City of Houston | Clinic/Center | La Nueva Casa De Amigos 1809 N Main St, Houston, TX 77009 | 2007-02-20 |
| 1194874529 | Mariano A Caceres | Surgery | 5310 B Irvington Blvd, Houston, TX 77009 | 2007-01-08 |
| 1720165566 | Debra Trimble | Nurse Practitioner | 2015 Thomas Street, Room 201b, Houston, TX 77009 | 2006-11-01 |
| Find all providers in zip 77009 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273775 | Eric Von Runnels | Dietetic Technician, Registered | 4218 Leighann Lane Dr, Houston, TX 77047-6780 | 2020-07-24 |
| 1417241175 | Carolyn Wyly | Dietetic Technician, Registered | 2620 Tanglewilde St, Houston, TX 77063-3203 | 2011-05-30 |
| 1689706392 | Oliva Olivarez | Dietetic Technician, Registered | 1504 Taub Loop, Houston, TX 77030-1608 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952990 | Priscilla Ann Askew | Dietetic Technician, Registered | 3025 Roxboro Rd, Euless, TX 76039-4055 | 2018-08-16 |
| 1922641034 | Mallory Patricia Bobzien | Dietetic Technician, Registered | 9301 N Central Expy Ste 685, Dallas, TX 75231-0816 | 2019-10-21 |
| 1326405697 | Emily Peck | Dietetic Technician, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2016-01-18 |
| 1568714269 | Nutrition In Action | Dietetic Technician, Registered | 9400 N. Central Expressway, Suite 402, Dallas, TX 75231 | 2012-10-05 |
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| 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.