Blair Mize, MS, RDN, CSSD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

6263 Poplar Ave Ste 605
Memphis, TN 38119-4724

Phone

(901) 343-6146

Fax

(901) 328-1802

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Memphis Nutrition Group, LLC

  • Clinic/Center
  • Memphis, TN
  • NPI 1538799515
  NPD Authorized official

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174153159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE STE 605",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194724",
            "telephone_number": "901-343-6146",
            "fax_number": "901-328-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE STE 605",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194724",
            "telephone_number": "901-343-6146",
            "fax_number": "901-328-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "BLAIR",
        "credential": "MS, RDN, CSSD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "901-328-1802",
            "affiliation": "Y",
            "endpointDescription": "Fax",
            "affiliationName": "Memphis Nutrition Group, LLC",
            "address_1": "6263 Poplar Ave Ste 605",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381194724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James R Mitchum, MD
• Sanjeev Kumar Mittal, MD
• Joseph A Mixon, MD
• Isao Miyairi, M.D.
• Anna E Mize, MD
• MKM Transportation Service, LLC
• MNM Ecommerce Group, LLC
• Mobilcare Medical, Inc.
• Mobile Diagnostic Eyecare
• Mobile Mommy LLC

• Registered Dietitian in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.