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DR. MIRANDA VAN BLARCUM DC RD
NPI 1134519127
Dietitian, Registered in Austin, TX

Active since January 28, 2015
2105 E MLK BLVD # 111, AUSTIN, TX 78702(512) 309-1650 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2025, Jul 10, 2019, Sep 12, 2018 (3 updates tracked since 2018).

About Dr. Miranda Van Blarcum Dc Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRANDA VAN BLARCUM DC RD (NPI 1134519127) is an individual dietitian, registered in Austin, Texas, licensed in Texas (DT92549) and active in the NPI registry since January 2015. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1134519127
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. MIRANDA VAN BLARCUMCredential: DC RD
Location Address2105 E MLK BLVD # 111Austin, TX 78702-1341
Mailing Address2105 E Mlk Blvd # 111Austin, TX 78702-1341
Phone(512) 309-1650
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 28, 2015
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1134519127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT92549
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedChiropractorTaxonomy 111N00000X · License 13538 (TX), 0104-557227 (VA)
2105 E MLK BLVD # 111, Austin, TX 78702
Open in Google Maps ↗

Other Identifiers 1

Other13538TX · Texas Board Of Chiropractic Examiners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miranda Van Blarcum Dc Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214264530
PECOS Enrollment IDI20190809000321

Medicare Billing Reassignments

2

Medicare enrollment records show Miranda Van Blarcum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Natasha T Bonner Dc PLLC
204 mi
Chiropractor
515 W MAIN ST, SUITE 101
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1063725133 (972) 908-3322
Julie Reddell Gruben Dc PLLC
204 mi
Chiropractor
515 W MAIN ST, SUITE 101
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1972816049 (972) 908-3322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Van Blarcum's NPI number?

The NPI number for Miranda Van Blarcum is 1134519127. It was assigned to this individual provider in the NPPES registry on January 28, 2015.

Where is Miranda Van Blarcum located?

Miranda Van Blarcum practices at 2105 E Mlk Blvd # 111, Austin, TX 78702. The listed phone number is (512) 309-1650.

What is Miranda Van Blarcum's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Miranda Van Blarcum enrolled in Medicare?

Yes. Miranda Van Blarcum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miranda Van Blarcum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Van Blarcum reassigns Medicare benefits to 2 organizations: Natasha T Bonner Dc PLLC (Allen, TX) and Julie Reddell Gruben Dc PLLC (Allen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Van Blarcum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Van Blarcum accept?

Health plans from Blue Cross and Blue Shield of Texas list Miranda Van Blarcum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miranda Van Blarcum was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.