Miranda Van Blarcum, DC RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT92549 Issued in TX

Practice address

2105 E MLK Blvd # 111
Austin, TX 78702-1341

Phone

(512) 309-1650

NPI assigned

Jan 28, 2015

Last updated

Nov 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Natasha T Bonner DC PLLCGroup PAC ID 1153571310, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natasha T Bonner DC PLLC

  • Chiropractor
  • Allen, TX
  • NPI 1063725133
  Medicare reassignment Care Compare group NPD
• Julie Reddell Gruben DC PLLC

  • Chiropractor
  • Allen, TX
  • NPI 1972816049
  Medicare reassignment NPD
• Vedic Nutrition LLC

  dba Vedic

  • Registered Dietitian
  • Austin, TX
  • NPI 1306691779

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1134519127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E MLK BLVD # 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E MLK BLVD # 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021341",
            "telephone_number": "512-309-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BLARCUM",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "DC RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13538",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557227",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT92549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "13538",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Value Oriented Medical Clinic PLLC (Value Oriented Medical Clinic)
• Ashvini Valvekar
• Julius Henry Van Bavel, M.D.
• Kathryn Van Besien
• Savannah Rae Van Besien, LPC-S
• Iektje Van Bolhuis, PH.D.
• Stefanie Nicole Van Boskerck, PHARMD
• Roxanne Van Brown, HIS
• Lauren Van Burkleo, SLPA
• Alexandra Bailey Van Cleave

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.