Beth Nicole Blair, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

945242 Issued in IN

Practice address

6211 Waterford Blvd
Evansville, IN 47715-2869

Phone

(812) 465-6202

NPI assigned

Nov 14, 2011

Last updated

Feb 25, 2020By the provider in NPPES

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

Other names 1

• Beth Nicole Zielinski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Louis JC Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Evansville, IN
  • NPI 1851349062
  NPD

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1659658045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8866 HILLSIDE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302283",
            "telephone_number": "812-760-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 WATERFORD BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152869",
            "telephone_number": "812-465-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 New Hartford Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031705",
            "country_code": "US",
            "telephone_number": "270-684-5034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8866 Hillside Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476302283",
            "country_code": "US",
            "telephone_number": "812-760-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "BETH",
        "middle_name": "NICOLE",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "945242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "ZIELINSKI",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John C Bizal, M.D.
• Cathy C Black, OTR
• Natalie Black, NP
• James William Blackburn, D.D.S.
• Kendyl Grace Blackgrave, RBT
• Crystal Blair
• Jennifer M Blair, CRNA
• Kimberly Blair, RD, CD
• Logan Gaite Blair
• Breanna Blake

• Registered Dietitian in Evansville, IN
• Providers in Evansville, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.