MICHAEL BLAKE MS, RD, LRD
NPI 1154894434
Dietitian, Registered in Fargo, ND

Q: What is Michael Blake's NPI number?

The NPI number for Michael Blake is 1154894434. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Q: What is Michael Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Blake was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since January 09, 2019

2400 32ND AVE S, FARGO, ND 58103(701) 234-2245 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 12, 2020, Jan 9, 2019 (2 updates tracked since 2019).

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About Michael Blake Ms, Rd, Lrd NPPES

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

MICHAEL BLAKE MS, RD, LRD (NPI 1154894434) is an individual dietitian, registered in Fargo, North Dakota, licensed in North Dakota (1187) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1154894434

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMICHAEL BLAKECredential: MS, RD, LRD

Location Address2400 32ND AVE SFargo, ND 58103-5800

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-2245

Sole ProprietorNo

Enumeration DateJanuary 9, 2019

Last NPPES UpdateMay 12, 20202 updates tracked since enumeration

NPPES CertifiedMay 12, 2020

✔ NPI 1154894434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in ND · 1187

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.

2400 32ND AVE S, Fargo, ND 58103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON C MYRMOE MD

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