Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356292064 Individual Practitioner Female Practitioner

Mikaela Blake , RDN

Dietitian, Registered • Logan, UT

Professional Overview & Biography Verified Profile Summary

Mikaela Blake, RDN is a registered healthcare professional specializing in Dietitian, Registered in Logan, UT. Practice services are available at 385 E 200 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

385 E 200 S

Logan, UT 843215305

Telephone 4352319299

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Logan, UT (687 Statewide)

Telehealth Adoption Rate
2.4% 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: 2026-02-07
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 07, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2026

Registered at 385 E 200 S, LOGAN, UT 843215305 (Tel: 4352319299)

📍
Updated Business Mailing Address February 07, 2026

Registered at 385 E 200 S, LOGAN, UT 843215305

👤
Provider Name / Credentials Updated February 07, 2026

Recorded as MIKAELA BLAKE, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2026

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration February 07, 2026

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: 1356292064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2026
Last Update: February 07, 2026
Sole Proprietor: No

Mailing Address

385 E 200 S

Logan, UT 843215305

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.