Debra Anne Blair, R.D., C.D.E.

Key facts

NPI: 1154569374
Entity type: Individual (NPI type 1)
Primary specialty: Metabolic Nutrition Registered Dietitian 133VN1006X
License: 14518 (NJ)
Practice address: 2150 Highway 35
Suite 250
Sea Girt, NJ 08750
Phone: (732) 746-3708
Fax: (732) 359-0249
NPI assigned: Jan 26, 2009
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Dietitian	133V00000X	14518	NJ
Metabolic Nutrition Registered Dietitian	133VN1006X	14518	NJ	Yes

Addresses

Primary practice location

2150 Highway 35
Suite 250
Sea Girt, NJ 08750

Mailing address

2150 Highway 35
Suite 250
Sea Girt, NJ 08750
Phone (732) 746-3708

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2023.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1154569374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HIGHWAY 35",
            "address_2": "SUITE 250",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-746-3708",
            "fax_number": "732-359-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HIGHWAY 35",
            "address_2": "SUITE 250",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-746-3708",
            "fax_number": "732-359-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "14518",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "14518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

All providers in Sea Girt, NJ · Metabolic Nutrition Registered Dietitian in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.