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MIREILLE BLACKE MA, RD, CD-N
NPI 1861768889
Dietitian, Registered in Middletown, CT

Active since March 23, 2012
6122 TOWN RDG, MIDDLETOWN, CT 06457(203) 233-6680(860) 852-3465 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mireille Blacke Ma, Rd, Cd-n NPPES

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

MIREILLE BLACKE MA, RD, CD-N (NPI 1861768889) is an individual dietitian, registered in Middletown, Connecticut, licensed in Connecticut (1073878) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1861768889
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMIREILLE BLACKECredential: MA, RD, CD-N
Location Address6122 TOWN RDGMiddletown, CT 06457-6551
Mailing Address6122 Town RdgMiddletown, CT 06457-6551 · (203) 233-6680 · Fax (860) 852-3465
Phone(203) 233-6680
Fax(860) 852-3465
Sole ProprietorYes
Enumeration DateMarch 23, 2012
✔ NPI 1861768889 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 CT · 1073878
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 ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License 001082 (CT)
6122 TOWN RDG, Middletown, CT 06457
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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 Mireille Blacke's NPI number?

The NPI number for Mireille Blacke is 1861768889. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Where is Mireille Blacke located?

Mireille Blacke practices at 6122 Town Rdg, Middletown, CT 06457. The listed phone number is (203) 233-6680.

What is Mireille Blacke's specialty?

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

When was this NPI record last updated?

The NPPES record for Mireille Blacke was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.