Michael Blake, MS, RD, LRD
NPI 1154894434ActiveIndividual· Dietitian, Registered· Fargo, ND
Dietitian, Registered (MS, RD, LRD) in Fargo, North Dakota, licensed in ND, with an NPI issued in January 2019.
Overview
| NPI | 1154894434 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LRD |
| Sole proprietor | No |
| NPI issued | Jan 9, 2019 |
| Last updated in NPPES | May 12, 2020 |
| Certified by provider | May 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1187 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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