Active NPI
Sara Qualls Blaha, LDN, RD
- Registered Dietitian
- Chesapeake, VA
National Provider Identifier
1265624639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 851880
- Practice address
- 638 Independence Pkwy
Suite 150
Chesapeake, VA 23320-5216 - Phone
- (757) 499-2018
- Fax
- (757) 499-2017
- NPI assigned
- Aug 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 851880 | NC | Primary |
Addresses
Primary practice location
638 Independence Pkwy
Suite 150
Chesapeake, VA 23320-5216
Mailing address
PO Box 6522
Chesapeake, VA 23323-0522
Phone (757) 499-2018
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 851880 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dietitian Group LLC | 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": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1265624639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6522",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233230522",
"telephone_number": "757-499-2018",
"fax_number": "757-499-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 INDEPENDENCE PKWY",
"address_2": "SUITE 150",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205216",
"telephone_number": "757-499-2018",
"fax_number": "757-499-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAHA",
"first_name": "SARA",
"middle_name": "QUALLS",
"credential": "LDN, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "851880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.