Blair Persyn, MS, RDN, LDN, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85375 Issued in TX

Practice address

2186 Jackson Keller Rd
Ste 1074
San Antonio, TX 78213-2723

Phone

(512) 200-4795

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Biteswithblair

  • Registered Dietitian
  • Frisco, TX
  • NPI 1265048623

  Dietitian, Registered

  NPD Authorized official
• Progressive Behavioral Health, PLLC

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238
  NPD (past)
• PHC of Buffalo Grove Clinical Psychology

  • Psychologist
  • Vernon Hills, IL
  • NPI 1235430612

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1326520511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 JACKSON KELLER RD",
            "address_2": "STE 1074",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132723",
            "telephone_number": "512-200-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 JACKSON KELLER RD",
            "address_2": "STE 1074",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132723",
            "telephone_number": "512-200-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11551 Forest Central Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433919",
            "country_code": "US",
            "telephone_number": "817-751-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSYN",
        "first_name": "BLAIR",
        "credential": "MS, RDN, LDN, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Care Management, Inc
• Personal Transformation Wellness Group, Inc.
• Personalized Prescription Physicians, LLC
• Personalized Prosthetics
• Angela D Persyn, PHARMD
• Deborah Mercy Persyn, RN, IBCLC
• Marie Cecilia Perusek, M.D.
• Muhammad Pervez
• Perya PLLC
• Catherine Ann Perz, PH.D

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.