Jana Elizabeth Blumberg, R.D., L.D.N., C.P.T

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

854730 Issued in MD

Practice address

6319 Executive Blvd
Rockville, MD 20852-3905

Phone

(301) 231-0026

Fax

(301) 231-0039

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Blumberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1700253069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "301-231-0026",
            "fax_number": "301-231-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "301-231-0026",
            "fax_number": "301-231-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "JANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "R.D., L.D.N., C.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "N00252",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "854730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BLUMBERG",
            "credential": "R.D., L.D.N., C.P.T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keira Blue
• Shaniya Blue
• Bluefish Therapy and Consulting, LLC
• Tammy Bluford
• Samuel Blum, DDS
• Lindsey Blumenauer
• Avi Blumenthal, FNP
• Michelle Rose Blumenthal, PSY.D.
• Bmljr Enterprises LLC
• Amanda Boadu

• Registered Dietitian in Rockville, MD
• Providers in Rockville, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.