Individual provider · Type 1 NPI

Erica Kukulka Blake, MS, RD, LD/N

Registered Dietitian · Gainesville, FL

NPI number 1225330178 Active

Practice location

2000 SW Archer Rd, G1110
Gainesville, FL 32608-1136

Mailing address

1600 SW Archer Rd
Gainesville, FL 32610-3003

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XND5444 (FL)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1225330178

Erica Kukulka Blake, MS, RD, LD/N's National Provider Identifier is 1225330178, issued on Nov 29, 2010. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Gainesville, FL. The record was last updated on Nov 29, 2010.