Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Blake, MS, RD, LRD

Individual provider Registered Dietitian · NPI 1154894434

Michael Blake, MS, RD, LRD is a Registered Dietitian in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2019.

Licensed in
ND
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2400 32nd Ave S
Fargo, ND 58103-5800
Phone: (701) 234-2245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1187 (ND)

Record details

NPI number1154894434
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , LRD
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

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