Blueprint Nutrition and Fitness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BLUEPRINT NUTRITION AND FITNESS LLC

Practice address

1528 Duckworth Ave
Charlotte, NC 28208-4315

Phone

(704) 999-5035

NPI assigned

Dec 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darrius Marable, RDN, LDNNPI 1659051597

Title

Owner

Phone

(704) 999-5035

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrius Sherade Marable, RD

  • Registered Dietitian
  • Kannapolis, NC
  • NPI 1659051597

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1659083806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 DUCKWORTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084315",
            "telephone_number": "704-999-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 DUCKWORTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084315",
            "telephone_number": "704-999-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT NUTRITION AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "MARABLE",
        "authorized_official_first_name": "DARRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-999-5035",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; 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.