MICHELLE LILA BLITSTEIN (NPI# 1801079298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801079298 |
| Entity Type | Individual |
| Full Name | MICHELLE LILA BLITSTEIN |
| Credential | M.S. R.D. |
| Practice Address |
4812 Carmel Park Dr Charlotte NC 28226-5131 |
| Practice Telephone | 7044915616 |
| Practice Fax Number | 7044426360 |
| Mailing Telephone | 7044915616 |
| Mailing Fax Number | 7048922212 |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
L001566 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MRCE NC PTAN | 2993129 | 01 |
| NC | BCBS NORTH CAROLINA | 142T8 | 01 |
| Street Address |
4812 CARMEL PARK DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386001 | Be Nutrition LLC | Dietitian, Registered | 4651 Charlotte Park Dr Ste 101c, Charlotte, NC 28217-1916 | 2019-09-23 |
| 1487975736 | Shari S Khalili | Dietitian, Registered | 2300 Randolph Rd, Charlotte, NC 28207-1562 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649662982 | Thomas Rodgers Jr. | Dietitian, Registered | 4105 Lawndale Pl, Greensboro, NC 27455-1637 | 2015-02-24 |
| 1306243399 | Natalie Dickinson | Dietitian, Registered | 225 Haw Creek Mews Dr, Asheville, NC 28805-1966 | 2014-11-19 |
| 1124303722 | Halifax County Health Department | Dietitian, Registered | 19 North Dobbs St., Halifax, NC 27839-0010 | 2011-10-14 |
| 1386932739 | Doris Fiorillo Wicks | Dietitian, Registered | 19220 Makayla Ln, Cornelius, NC 28031-6527 | 2011-07-19 |
| 1568626109 | Jane E. Stegner | Dietitian, Registered | 2393 Jefferson Ave, Winston Salem, NC 27103-4315 | 2008-07-14 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| 1053339952 | Nalini Narahari | Dietitian, Registered | 202 Bradwyck Dr, Cary, NC 27513-9414 | 2006-07-18 |
| 1043278195 | Integrative Therapies, Inc. | Dietitian, Registered | 7 E Oak Branch Dr, Greensboro, NC 27407 | 2006-05-01 |
| 1821577040 | Sarah E Novelly Rush | Dietitian, Registered | 114 Charlois Blvd, Winston Salem, NC 27103-1522 | 2018-08-08 |
| 1306240643 | Ann Branch | Dietitian, Registered | 739 Chappell Dr, Raleigh, NC 27606-3215 | 2014-10-15 |
| Find all providers with the same taxonomy | ||||
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| 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.