Rebecca Blake, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005997 Issued in NY

Practice address

1011 Old White Plains Rd
Mamaroneck, NY 10543-1100

Phone

(917) 929-8920

NPI assigned

Sep 21, 2006

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

• Rebecca Solomon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1851499701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 OLD WHITE PLAINS RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431100",
            "telephone_number": "917-929-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 OLD WHITE PLAINS RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431100",
            "telephone_number": "917-929-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "REBECCA",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SOLOMON",
            "credential": "MS, RD, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Norman Benz, D.C.
• Susan Berenzweig, PSY.D.
• Patricia L Bessone, PHYCISAL THERAPIST
• Monica Isabel Bhardwaj, PT
• Richard P Biondi, DC
• Alicia Blittner, RDN
• Sarah Blough, M.ED.
• Magdalena Bogyo, PT
• Carissa Boncardo, LMHC
• Regina Bowler

• Registered Dietitian in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.