MS. MARILYN KAYE TANNER-BLASIAR RD NPI 1902428022

NPI Information

  • NPI: 1902428022
  • Provider Name: MS. MARILYN KAYE TANNER-BLASIAR, RD
  • Classification: Dietitian, Registered - 133VN1004X
  • Specialization: Nutrition, Pediatric
  • Entity Type: Individual
  • Address: 1 CHILDRENS PL
    DIV PED ENDOCRINOLOGY AND DIABETES
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 454-6051

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NPI Details

MS. Marilyn Kaye Tanner-blasiar, RD is a nutrition and pediatric dietitian registered in Saint Louis, MO. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. MS. Marilyn Kaye Tanner-blasiar, RD NPI is 1902428022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PL
DIV PED ENDOCRINOLOGY AND DIABETES
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6051
Fax: (314) 454-6225

The enumeration date for this NPI number is 5/12/2020 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered2001004545MISSOURINo
2133VN1004XDietitian, RegisteredNutrition, Pediatric2001004545MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1350122289MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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