Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134519127 Individual Practitioner Female Practitioner

Dr. Miranda Van Blarcum , DC RD

Dietitian, Registered • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Miranda Van Blarcum, DC RD is a certified Dietitian, Registered practicing in Austin, TX. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Van Blarcum delivers high-quality medical care to the local community at 2105 E MLK BLVD # 111.

Dr. Van Blarcum is affiliated with Natasha T Bonner Dc Pllc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2105 E Mlk Blvd # 111

Austin, TX 787021341

Telephone 5123091650
Associated Practice Facility / Clinic
🏢 Vedic Nutrition Llc Facility NPI 1306691779

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Austin, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +0.9 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
1050 Specialists

Practicing in Austin, TX (5148 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Blarcum (12 Years) 12 Yrs
Austin Specialty Average (11.1 Years) 11.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-04
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT92549

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License TX 13538

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License VA 0104-557227

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Board Of Chiropractic Examiners
13538 (TX)

Hospital & Practice Group Affiliations

Natasha T Bonner Dc Pllc

515 W Main St, Allen, TX 750138021

Phone: 9729083322

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1003640244

Doctor of Philosophy (Ph.D.), Registered Dietitian

Jonathon Guzman , RD

Dietitian, Registered - Nutrition, Renal

NPI 1033919956

Registered Dietitian

Kristian Bello Mendez , RD

Dietitian, Registered

NPI 1366315939

Registered Dietitian

Makayla Baird , RD, LD

Dietitian, Registered

NPI 1386327567

Registered Dietitian, Licensed Dietitian

Melissa Marriott , RD, LD

Dietitian, Registered

NPI 1477995603

Registered Dietitian, Licensed Dietitian

Heidi Mcclain

Dietitian, Registered

NPI 1558238261

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 04, 2025

Registered at 2105 E MLK BLVD # 111, AUSTIN, TX 787021341 (Tel: 5123091650)

📍
Updated Business Mailing Address November 04, 2025

Registered at 2105 E MLK BLVD # 111, AUSTIN, TX 787021341

👤
Provider Name / Credentials Updated November 04, 2025

Recorded as MIRANDA VAN BLARCUM, DC RD

📍
Updated Business Mailing Address July 10, 2019

Registered at PO BOX 700688, SAN ANTONIO, TX 782700688 (Tel: 2104777654)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Chiropractor (License #13538 in TX)

📍
Updated Practice Location September 12, 2018

Registered at 100 RIVER HILLS DR STE 102, GEORGETOWN, TX 786283682 (Tel: 8004046050)

📍
Updated Business Mailing Address September 12, 2018

Registered at 911 CENTRAL PKWY N STE 300, SAN ANTONIO, TX 782325053 (Tel: 8004046050)

NPI Profile Active January 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2015

Registered at 8993 COTSWOLD DR, BURKE, VA 220151666 (Tel: 5732535005)

📍
Updated Business Mailing Address January 28, 2015

Registered at 8993 COTSWOLD DR, BURKE, VA 220151666 (Tel: 5732535005)

👤
Provider Name / Credentials Updated January 28, 2015

Recorded as MIRANDA WALL, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2015

Chiropractor (License #0104-557227 in VA)

🟢
Initial NPI Registration & Enumeration January 28, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134519127
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2015
Last Update: November 04, 2025
Sole Proprietor: No

Mailing Address

2105 E Mlk Blvd # 111

Austin, TX 787021341

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.