Active NPI
Maria D Blandon-Mayorga, RDN, LD/N
- Registered Dietitian
- Miami, FL
National Provider Identifier
1487169389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6815
- Practice address
- 15715 S Dixie Hwy Ste 220
Miami, FL 33157-1876 - Phone
- (954) 360-7883
- Fax
- (954) 360-7884
- NPI assigned
- Dec 13, 2017
- 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 | ND6815 | FL | Primary |
Addresses
Primary practice location
15715 S Dixie Hwy Ste 220
Miami, FL 33157-1876
Mailing address
11413 SW 246TH Ter
Homestead, FL 33032-4655
Phone (786) 760-9830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Homestead, FL
- NPI 1184229841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1487169389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11413 SW 246TH TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330324655",
"telephone_number": "786-760-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15715 S DIXIE HWY STE 220",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571876",
"telephone_number": "954-360-7883",
"fax_number": "954-360-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDON-MAYORGA",
"first_name": "MARIA",
"middle_name": "D",
"credential": "RDN, LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.