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Active NPI 1154894434 Individual Practitioner Male Practitioner

Michael Blake , MS, RD, LRD

Dietitian, Registered • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Michael Blake, MS, RD, LRD is a registered healthcare professional specializing in Dietitian, Registered in Fargo, ND. Practice services are available at 2400 32ND AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 32nd Ave S

Fargo, ND 581035800

Telephone 7012342245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
133 Specialists

Practicing in Fargo, ND (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License ND 1187

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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Kimberly Crandall , RN, BSN, CDE

Registered Nurse - Diabetes Educator

NPI 1013452655

Registered Nurse, Bachelor of Science in Nursing, Certified Diabetes Educator

Kristin Mohr , LRD

Dietitian, Registered

NPI 1114944659
Kristen Liebl , LRD

Dietary Manager

NPI 1164567970
Emily Hoffman , RD

Dietitian, Registered

NPI 1255160529

Registered Dietitian

Linh Tran , RDN, LRD

Dietitian, Registered

NPI 1376202432

Registered Dietitian Nutritionist, LRD

Lisa Aipperspach , RD

Dietitian, Registered

NPI 1457988636

Registered Dietitian

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address May 12, 2020

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

NPI Profile Active January 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2019

Registered at 2400 32ND AVE S, FARGO, ND 581035800 (Tel: 7012342245)

📍
Updated Business Mailing Address January 09, 2019

Registered at 2400 32ND AVE S, FARGO, ND 581035800

👤
Provider Name / Credentials Updated January 09, 2019

Recorded as MICHAEL BLAKE, MS, RD, LRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Dietitian, Registered (License #1187 in ND)

🟢
Initial NPI Registration & Enumeration January 09, 2019

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: 1154894434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2019
Last Update: May 12, 2020
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.