MICHELLE LILA BLITSTEIN


Address: 4812 Carmel Park Dr, Charlotte, NC 28226-5131
Phone: 7044915616

MICHELLE LILA BLITSTEIN (NPI# 1801079298) 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) 1801079298
Entity Type Individual
Full Name MICHELLE LILA BLITSTEIN
Credential M.S. R.D.
Practice Address 4812 Carmel Park Dr
Charlotte
NC 28226-5131
Practice Telephone 7044915616
Practice Fax Number 7044426360
Mailing Telephone 7044915616
Mailing Fax Number 7048922212
Enumeration Date 2007-12-09
Last Update Date 2010-02-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
L001566 NC Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC MRCE NC PTAN 2993129 01
NC BCBS NORTH CAROLINA 142T8 01

Office Location

Street Address 4812 CARMEL PARK DR
City CHARLOTTE
State NC
Zip Code 28226-5131

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841837507 Southeast Vulvar Clinic, Pllc Dermatology 6406 Carmel Road, Suite 309, Charlotte, NC 28226 2019-12-02
1427540012 Kenneth William Riley Jr. Behavioral Analyst 10953 Park Rd., Charlotte, NC 28226 2018-05-31
1780103838 Tamara Andres Specialist/Technologist 2518 Lawton Bluff Rd., Charlotte, NC 28226 2017-09-10
1083132609 Xenon Anesthesia of North Carolina Pllc Anesthesiology 7006 Shannon Willow Road, Charlotte, NC 28226 2017-09-04
1104354117 Lauren Nicole Brindisi Chiropractor 11230 Carmel Commons Blvd., Charlotte, NC 28226 2017-06-03
1346790821 Carolinas Skin Center Pa Plastic Surgery 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 2016-10-10
1871040469 Julie R Jackson Counselor 7810 Prineville-mathews Road, Charlotte, NC 28226 2016-09-01
1518346105 Christopher Abernathy Dentist 3111 Springbank Ln Ste A, Charlotte, NC 28226 2015-05-28
1285067504 Amy N Bullock Physical Therapist 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 2013-08-11
1528405297 Elevate Counseling and Clinical Services, Pllc Community/Behavioral Health 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 2013-06-04
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295386001 Be Nutrition LLC Dietitian, Registered 4651 Charlotte Park Dr Ste 101c, Charlotte, NC 28217-1916 2019-09-23
1487975736 Shari S Khalili Dietitian, Registered 2300 Randolph Rd, Charlotte, NC 28207-1562 2010-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649662982 Thomas Rodgers Jr. Dietitian, Registered 4105 Lawndale Pl, Greensboro, NC 27455-1637 2015-02-24
1306243399 Natalie Dickinson Dietitian, Registered 225 Haw Creek Mews Dr, Asheville, NC 28805-1966 2014-11-19
1124303722 Halifax County Health Department Dietitian, Registered 19 North Dobbs St., Halifax, NC 27839-0010 2011-10-14
1386932739 Doris Fiorillo Wicks Dietitian, Registered 19220 Makayla Ln, Cornelius, NC 28031-6527 2011-07-19
1568626109 Jane E. Stegner Dietitian, Registered 2393 Jefferson Ave, Winston Salem, NC 27103-4315 2008-07-14
1780895136 Sherrie Fennell Edwards Dietitian, Registered 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 2007-05-25
1053339952 Nalini Narahari Dietitian, Registered 202 Bradwyck Dr, Cary, NC 27513-9414 2006-07-18
1043278195 Integrative Therapies, Inc. Dietitian, Registered 7 E Oak Branch Dr, Greensboro, NC 27407 2006-05-01
1821577040 Sarah E Novelly Rush Dietitian, Registered 114 Charlois Blvd, Winston Salem, NC 27103-1522 2018-08-08
1306240643 Ann Branch Dietitian, Registered 739 Chappell Dr, Raleigh, NC 27606-3215 2014-10-15
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Competitor

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City CHARLOTTE
Zip Code 28226

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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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