KIMBERLY BLUM (NPI# 1326310574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326310574 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLUM |
| Credential | RD |
| Practice Address |
4001 W 15th St 350 Plano TX 75093-5841 |
| Mailing Address |
Po Box 702281 Dallas TX 75370-2281 |
| Practice Telephone | 9729870050 |
| Mailing Telephone | 9729870050 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 273552321 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972977973 | Kimberly Blum | Physician Assistant | 5200 Eastern Ave Rm 260, Baltimore, MD 21224-2734 | 2015-11-14 |
| 1376952457 | Kimberly Michelle Blum | Clinical Nurse Specialist | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2014-08-04 |
| Street Address |
4001 W 15TH ST 350 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596957 | Richard G Buch | Specialist | 4001 W 15th St, Suite 290, Plano, TX 75093-5841 | 2005-05-23 |
| 1447897806 | Wade Christian Peterson | Counselor | 4001 W 15th St, Plano, TX 75093-5841 | 2019-12-04 |
| 1003330077 | Shara Hilary Cummings | Physical Therapist | 4001 W 15th St, Plano, TX 75093-5841 | 2017-08-01 |
| 1134663479 | Susan Mussachio | Nurse Practitioner | 4001 W 15th St, Ste 245, Plano, TX 75093-5841 | 2016-12-06 |
| 1538519087 | Carla Leslie | Counselor | 4001 W 15th St, Suite 465, Plano, TX 75093-5841 | 2016-06-15 |
| 1245680883 | Angelique White Ferraris | Physician Assistant | 4001 W 15th St, Suite 445, Plano, TX 75093-5841 | 2016-06-14 |
| 1063881076 | Deanah A Jibril, Do, Pa | Obstetrics & Gynecology | 4001 W 15th St, Suite 375, Plano, TX 75093-5841 | 2015-09-21 |
| 1295110740 | Christina E Newman | Physical Therapist | 4001 W 15th St, Suite 490, Plano, TX 75093-5841 | 2015-07-27 |
| 1821471004 | Shayan Moslemi | Physical Therapist | 4001 W 15th St, Ste 490 Bldg 1, Plano, TX 75093-5841 | 2015-07-07 |
| 1740677012 | Anam Shahbaz | Physician Assistant | 4001 W 15th St, Ste. 200, Plano, TX 75093-5841 | 2015-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162493 | Shea Lauren Puckett | Dietitian, Registered | 6632 Canyon Oaks Cir, Plano, TX 75024-7483 | 2020-07-27 |
| 1558996595 | Connally Morris | Dietitian, Registered | 4708 Alliance Blvd Ste 400, Plano, TX 75093-5340 | 2020-03-10 |
| 1326694035 | Haley Laura Pfannstiel | Dietitian, Registered | 700 E Park Blvd Ste 110, Plano, TX 75074-8842 | 2019-08-18 |
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1265934079 | Sam Presicci | Dietitian, Registered | 6512 Rutherford Rd, Plano, TX 75023-2373 | 2018-03-07 |
| 1356857767 | Jennifer R Zucconi | Dietitian, Registered | 5908 Loch Maree Dr, Plano, TX 75093-4552 | 2017-12-20 |
| 1861912347 | Kristin Williams | Dietitian, Registered | 5400 W Plano Pkwy Ste 210, Plano, TX 75093-4883 | 2017-06-26 |
| 1770931180 | Erica Bennett | Dietitian, Registered | 3217 Brewton Dr, Plano, TX 75074-8764 | 2016-05-25 |
| 1962872390 | Han Sun | Dietitian, Registered | 6520 Silver Ln, Plano, TX 75023-2854 | 2015-09-28 |
| 1538543061 | Dana Quigley | Dietitian, Registered | 908 Harvest Glen Dr, Plano, TX 75023-6725 | 2015-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.