Active NPIIndividual providerSole proprietor

Rebecca Blake, MS, RD, CDN

Dietitian, Registered in Mamaroneck, New York

NPI Number1851499701
Practice location
1011 Old White Plains RD, Mamaroneck, NY 10543-1100
Fax
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Last updated
July 30, 2024

Rebecca Blake is a Dietitian, Registered based in Mamaroneck, NY. Rebecca Blake practices in Mamaroneck, NY and has the professional credentials of MS, RD, CDN. The NPI Number for Rebecca Blake is 1851499701 and holds a License No. 005997 (NY). The current practice location address for Rebecca Blake is 1011 Old White Plains RD, Mamaroneck, NY 10543-1100 and can be reached out via phone at 917-929-8920.

Provider Profile Details

NPI Number
1851499701
Provider Name
Rebecca Blake
Credential
MS, RD, CDN
Provider Entity Type
Individual
Gender
Female
Address
1011 Old White Plains RD, Mamaroneck, NY 10543-1100
Phone Number
917-929-8920
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Other Names
Rebecca Solomon, MS, RD, CDN (Former Name)
Provider Enumeration Date
September 21, 2006
Last Update Date
July 30, 2024
Certification Date
July 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Old White Plains RD
Mamaroneck, NY 10543-1100
Zip
10543-1100
Phone Number
917-929-8920
Mamaroneck, NY 10543Get directions →

Provider Business Mailing Address Details

Address
1011 Old White Plains RD
Mamaroneck, NY 10543-1100
City
Mamaroneck
State
NY
Zip
10543-1100
Phone Number
917-929-8920

License Information

License Number
005997
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca Blake, MS, RD, CDN?

The NPI number of Rebecca Blake, MS, RD, CDN is 1851499701. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Rebecca Blake, MS, RD, CDN?

Rebecca Blake, MS, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 005997.

Where does Rebecca Blake, MS, RD, CDN practice?

The practice location is 1011 Old White Plains RD, Mamaroneck, NY 10543-1100. The office can be reached at 917-929-8920 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851499701 directly on the NPPES registry website.

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