Blanca Soledad Mejia, MS,NL,CNS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

DX4039 Issued in MD

Practice address

11110 Medical Campus Rd Ste 108
Hagerstown, MD 21742-6734

Phone

(301) 714-4041

NPI assigned

Dec 21, 2016

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Practices of Antietam, LLC 229 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

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.

• Medical Practices of Antietam LLC

  • Clinic/Center
  • Hagerstown, MD
  • NPI 1710854963

  MD

  Medicare reassignment Care Compare group
• Medical Practices of Antietam, LLC

  • Orthopaedic Surgery Physician
  • Frederick, MD
  • NPI 1144986233
  Care Compare group
• Medical Practices of Antietam, LLC

  • Orthopaedic Surgery Physician
  • Hagerstown, MD
  • NPI 1437815529
  Care Compare group
• Medical Practices of Antietam, LLC

  • General Practice Physician
  • Hagerstown, MD
  • NPI 1558430843
  Care Compare group

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1235674698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CLARKS LN",
            "address_2": "APT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152624",
            "telephone_number": "443-835-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 108",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426734",
            "telephone_number": "301-714-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 clarks Ln",
            "address_2": "apt A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212152624",
            "country_code": "US",
            "telephone_number": "443-835-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "BLANCA",
        "middle_name": "SOLEDAD",
        "credential": "MS,NL,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "DX4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Sabrina Meftali
• Desirae Mehaffie, LCSWC
• Nikhil K. Mehta, MD FACS
• Catherine S. Melby, LCSW-C
• Gwendolyn Mellott, LCSWC
• Kristen Mellott
• Stephen Mellott, LCSWC
• Kylee Y Melvin

• All providers in Hagerstown, MD
• Nutrition Education Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.