Active NPI
Camilla Blanton, RD, LD, CEDS
- Registered Dietitian
- The Woodlands, TX
National Provider Identifier
1134733470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86143560
- Practice address
- 8000 Research Forest Dr
Ste 115-1101
The Woodlands, TX 77382 - Phone
- (469) 321-6064
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86143560 | Primary | |
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
8000 Research Forest Dr
Ste 115-1101
The Woodlands, TX 77382
Mailing address
8000 Research Forest Dr
Ste 115 PMB 1101
The Woodlands, TX 77382
Other names 1
- Camilla Ahlqvist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1134733470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 RESEARCH FOREST DR",
"address_2": "STE 115 PMB 1101",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 RESEARCH FOREST DR",
"address_2": "STE 115-1101",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77382",
"telephone_number": "469-321-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTON",
"first_name": "CAMILLA",
"credential": "RD, LD, CEDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2024-01-10",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86143560",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLA",
"last_name": "AHLQVIST",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.