Blake E Lamkin, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86108332 Issued in CA

Practice address

760 Cypress Ave Ste 303
Redding, CA 96001-2743

Phone

(530) 410-0147

Fax

(530) 710-8388

NPI assigned

Nov 5, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1003384496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LAKE BLVRD PO #40",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-410-0147",
            "fax_number": "530-710-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CYPRESS AVE STE 303",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012743",
            "telephone_number": "530-410-0147",
            "fax_number": "530-710-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1066 Pine St Unit B",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010709",
            "country_code": "US",
            "telephone_number": "530-604-7341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMKIN",
        "first_name": "BLAKE",
        "middle_name": "E",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86108332",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raileen C Lagoc, M.D.
• Mary-Jane C Laitinen
• Tully Steven Lale, PH.D.
• Gary Man Lam, MD
• Cameron Lamb, DDS
• Analucia Barragan Trejo Lamkins, MD
• Susan Lamoureaux, MSW
• Amy Rene Lance
• Caleb Ben Land, RN
• Patricia M Landaker, LCSW

• Registered Dietitian in Redding, CA
• Providers in Redding, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.