Active NPI
Arleen Denise Harris Blythe, R.D.
- Nutrition Education Nutritionist
- Detriot, MI
National Provider Identifier
1619008109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- R357296
- Practice address
- Detroit Health Dept - Herman Kiefer Health Complex
1151 Taylor Street, Wing , 2C
Detriot, MI 48202-1732 - Phone
- (313) 876-4558
- Fax
- (313) 876-4645
- NPI assigned
- Mar 8, 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | R357296 | MI | Primary |
Addresses
Primary practice location
Detroit Health Dept - Herman Kiefer Health Complex
1151 Taylor Street, Wing , 2C
Detriot, MI 48202-1732
Mailing address
1151 Taylor Street, 2-C Wing
Detroit Health Department - Herman Kiefer Health Comple
Detroit, MI 48202-1732
Phone (313) 876-4558
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 |
|---|---|---|---|
| R357296 | MI | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Detroit | 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.
-
- Public Health or Welfare Agency
- Detroit, MI
- NPI 1033429394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619008109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 TAYLOR STREET, 2-C WING",
"address_2": "DETROIT HEALTH DEPARTMENT - HERMAN KIEFER HEALTH COMPLE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021732",
"telephone_number": "313-876-4558",
"fax_number": "313-876-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DETROIT HEALTH DEPT - HERMAN KIEFER HEALTH COMPLEX",
"address_2": "1151 TAYLOR STREET, WING , 2C",
"city": "DETRIOT",
"state": "MI",
"postal_code": "482021732",
"telephone_number": "313-876-4558",
"fax_number": "313-876-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS BLYTHE",
"first_name": "ARLEEN",
"middle_name": "DENISE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MI",
"license": "R357296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detriot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.