Mireille Blacke, MA, RD, CD-N
NPI 1861768889ActiveIndividual· Dietitian, Registered· Middletown, CT
Dietitian, Registered (MA, RD, CD-N) in Middletown, Connecticut, licensed in CT, with an NPI issued in March 2012.
Overview
| NPI | 1861768889 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, RD, CD-N |
| Sole proprietor | Yes |
| NPI issued | Mar 23, 2012 |
| Last updated in NPPES | Mar 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1073878 | CT |
| Nutritionist, Nutrition, Education | 133NN1002X | 001082 | CT |
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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