Blondies Pantry LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BLONDIES PANTRY LLC

Doing business as

Blondie's Pantry LLC

Practice address

5229 Annunciation St
New Orleans, LA 70115-1815

Phone

(914) 419-6627

NPI assigned

Aug 2, 2017

Last updated

Jan 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily WagnerNPI 1679095830

Title

Dietitian/Owner

Phone

(914) 419-6627

Specialties & licenses 1

Addresses

Other names 1

• Blondie's Pantry LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Freilich Wagner

  • Registered Dietitian
  • New Orleans, LA
  • NPI 1679095830
  Authorized official Same address or phone

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1104340934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 ANNUNCIATION ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 ANNUNCIATION ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151815",
            "telephone_number": "914-419-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLONDIES PANTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "914-419-6627"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blondie's Pantry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blondie's Pantry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen T Block, MSW, DR.PH, LCSW
• Ashley Blocker Wilbourn, M.S. CCC-SLP
• Alexandria Bloise, PA-C
• Andrea Blome, MD
• Lawrence Blonde, MD
• Bloom Behavioral Health L.L.C.
• Bloom in Nola, LLC
• Bloom Therapy Group LLC
• Laura Bloom, MD, MS, MBA
• Caleb Bloomfield

• Registered Dietitian in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.