MARILYN KAYE TANNER-BLASIAR (NPI# 1902428022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902428022 |
| Entity Type | Individual |
| Full Name | MARILYN KAYE TANNER-BLASIAR |
| Credential | MHS, RDN, LD, CDE |
| Practice Address |
1 Childrens Pl Cb 8116 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144546051 |
| Practice Fax Number | 3144546225 |
| Mailing Telephone | 3144546051 |
| Mailing Fax Number | 3144546225 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
2001004545 | MO | Dietary & Nutritional Service Providers |
| Street Address |
1 CHILDRENS PL CB 8116 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679621916 | Akashni Bhasin | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2007-01-05 |
| 1629690409 | Leia Alexandra Peterman | Genetic Counselor, MS | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-14 |
| 1184279200 | Samantha Toy | Genetic Counselor, MS | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2019-08-06 |
| 1528552510 | Lance William Peterson | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1710409669 | Irem Eldem | Pediatrics | 1 Childrens Pl Cb 8116, Wusm Peds Hematology & Oncology, Saint Louis, MO 63110 | 2017-07-12 |
| 1821519497 | Julia Ann Ciurria | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2017-07-04 |
| 1174044739 | Stephanie Diggs | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2017-07-03 |
| 1164942553 | Shilpa Rampey Venkata Naga | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2017-06-27 |
| 1912427519 | Tess Lenor Suttles | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2017-06-23 |
| 1962922724 | John Thomas Wren Jr. | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1010 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395720 | Laurie Ann Sax | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-14 |
| 1285107821 | Jade Leanna Caldwell | Dietitian, Registered | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2019-01-07 |
| 1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
| 1124272596 | Bridget E Tomic | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1881133270 | Dawn Marie Brouk | Dietitian, Registered | 16105 Elkton Ct, Chesterfield, MO 63005-6901 | 2017-02-17 |
| 1780950840 | Jessica Leigh Stafford | Dietitian, Registered | 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | 2012-03-22 |
| 1194011726 | Tomoko Okada | Dietitian, Registered | 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 | 2011-06-22 |
| 1730368671 | Tammy Elva Grayum | Dietitian, Registered | 14171 State Road Tt, Festus, MO 63028-4819 | 2007-10-28 |
| 1346622354 | Jordan D. Mize | Dietitian, Registered | 100 Mercy Way, Ste 580, Joplin, MO 64804-4524 | 2015-06-25 |
| 1326313909 | Nancy Keetch | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-15 |
| 1710252440 | Amanda Carole Bratton | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake St Louis, MO 63367-1366 | 2012-03-13 |
| 1407121312 | Lana Marie Kruse | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake St Louis, MO 63367-1366 | 2012-03-12 |
| 1699937979 | Carrie A Michel | Dietitian, Registered | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 | 2008-06-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.