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Michael Blake , MS, RD, LRD

Dietitian, Registered β€’ Fargo, ND

Active NPI 1154894434 Individual Practitioner Male Practitioner
Practice location in NPPES

2400 32nd Ave S
Fargo, ND 581035800

Call 7012342245 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2400 32nd Ave S

Fargo, ND 581035800

Telephone 7012342245
Organization at the Same NPPES Address or Phone
Prescription Center Pharmacy Inc. Facility NPI 1396723797

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fargo and North Dakota

133 active clinicians are listed under Dietitian, Registered with a practice address in Fargo, ND (309 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fargo

0% of these 133 clinicians have the CMS telehealth indicator.

4.5% of these 133 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Victoria Huseby , RDN

Dietitian, Registered

NPI 1700343076

Registered Dietitian Nutritionist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address May 12, 2020

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

βœ…
NPI Profile Active January 09, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 09, 2019

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

πŸ“
Business Mailing Address (Initial Record) January 09, 2019

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

πŸ‘€
Provider Name / Credentials (Initial Record) January 09, 2019

Recorded as MICHAEL BLAKE, MS, RD, LRD

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

Dietitian, Registered (license number reported to NPPES: ND 1187)

🟒
Initial NPI Registration & Enumeration January 09, 2019

First registered as active Individual Practitioner in NPPES Database.

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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

Other Dietitian, Registereds in Fargo

Healthcare providers in Fargo

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.