MRS. ALICE M PAYNE-BLAKE (NPI# 1295088144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295088144 |
| Entity Type | Individual |
| Full Name | MRS. ALICE M PAYNE-BLAKE |
| Other Name | ALICE M PAYNE-BLAKE |
| Practice Address |
540 Ne 179th Dr Miami North Miami Beach FL 33162-1922 |
| Mailing Address |
540 Ne 179th Dr North Miami Beach FL 33162-1922 |
| Practice Telephone | 3056509024 |
| Mailing Telephone | 3056509024 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 718051 | FL | Dietary & Nutritional Service Providers |
| Street Address |
540 NE 179TH DR MIAMI |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33162-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326463456 | Healthy Steps Nutrition LLC | Dietetic Technician, Registered | 777 S Federal Hwy Apt L104, Pompano Beach, FL 33062-5917 | 2014-02-26 |
| 1770807455 | Rd4u Inc | Dietetic Technician, Registered | 2329 Ne 18th Ct, Jensen Beach, FL 34957-5125 | 2010-03-24 |
| 1578107512 | Andrew Steven Anthony Ramsey | Dietetic Technician, Registered | 918 Lucerne Ter, Orlando, FL 32806-1013 | 2019-11-02 |
| 1881019875 | Lauren Marchand | Dietetic Technician, Registered | 777 S Federal Hwy Apt L104, L104, Pompano Beach, FL 33062-5917 | 2014-02-27 |
| 1245560291 | Cara J Karner | Dietetic Technician, Registered | 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | 2010-01-13 |
| 1699958546 | Holistic Health and Maternity Services Inc | Dietetic Technician, Registered | 7800 Sw 57th Ave, Suite216, South Miami, FL 33143-5528 | 2007-12-14 |
| 1356445480 | Jill M Adams | Dietetic Technician, Registered | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2006-09-11 |
| 1700827276 | Penny L Baker | Dietetic Technician, Registered | 6606 N Federal Hwy, C/o Home Consultations, Ft Lauderdale, FL 33308-1410 | 2006-06-08 |
| 1760433858 | Barbara A Romeo | Dietetic Technician, Registered | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-05-13 |
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
Please comment or provide details below to improve the information on MRS. ALICE M PAYNE-BLAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.