MIREILLE BLACKE MA, RD, CD-N
NPI 1861768889
Dietitian, Registered in Middletown, CT
- Individual
- Female
- Dietitian, Registered
About MIREILLE BLACKE
This page provides the complete NPI Profile along with additional information for Mireille Blacke, a provider established in Middletown, Connecticut with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1861768889 assigned on March 2012. The practitioner's primary taxonomy code is 133V00000X with license number 1073878 (CT). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1861768889 Verify this NPI
- Provider Name
- MIREILLE BLACKE MA, RD, CD-N
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6122 TOWN RDG MIDDLETOWN, CT 06457
- Location Phone
- (203) 233-6680
- Location Fax
- (860) 852-3465
- Mailing Address
- 6122 TOWN RDG MIDDLETOWN, CT 06457
- Mailing Phone
- (203) 233-6680
- Mailing Fax
- (860) 852-3465
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-23-2012
- Last Update Date
- 03-23-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 1073878
- License State
- CT
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | 001082 (CT) |
Reviews for MIREILLE BLACKE MA, RD, CD-N
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861768889, enumerated as an "individual" on March 23, 2012.
The provider is located at 6122 TOWN RDG MIDDLETOWN, CT 06457 and the phone number is (203) 233-6680.
Dietitian, Registered with taxonomy code 133V00000X.
