PRISCILLA BLOOM (NPI# 1861890949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861890949 |
| Entity Type | Individual |
| Full Name | PRISCILLA BLOOM |
| Credential | RD, LD |
| Practice Address |
1720 W Battlefield St Springfield MO 65807-5359 |
| Practice Telephone | 4178811950 |
| Mailing Telephone | 4178811950 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86049240 | MO | Dietary & Nutritional Service Providers |
| Street Address |
1720 W BATTLEFIELD ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225270952 | Jana D Johnson | Clinical Nurse Specialist | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2009-03-26 |
| 1891296554 | Amanda Marcella Allen | Dietitian, Registered | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2018-02-27 |
| 1962895110 | Regional Services | Family Medicine | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2015-03-12 |
| 1427465947 | Rebecca Kurth | Pharmacist | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2014-07-16 |
| 1255748729 | Michael Rupp | Pharmacist | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2014-07-16 |
| 1609289677 | Brittany Carpenter | Dietitian, Registered | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2014-06-08 |
| 1578843231 | Hy Vee Inc | Pharmacy | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2011-08-25 |
| 1588970677 | Kristen White | Dietitian, Registered | 1720 W Battlefield St, Springfield, MO 65807-5359 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| 1659978641 | Jaimie Lillian Lafferty | Dietitian, Registered | 1033 Lincoln Ave, Springfield, PA 19064-3922 | 2020-10-03 |
| 1023626108 | Samuel Bryan Yarrow | Dietitian, Registered | 960 E Walnut Lawn St Ste 203, Springfield, MO 65807-7865 | 2020-07-15 |
| 1417572579 | Nikki Jupe | Dietitian, Registered | 1928 5th St Apt 27, Springfield, OR 97477-2291 | 2020-06-14 |
| 1205487337 | Mary Digioia | Dietitian, Registered | 66 Industry Ave Ste 9, Springfield, MA 01104-3243 | 2019-09-20 |
| 1144877556 | Lindsey Allison Mcclafferty | Dietitian, Registered | 3252 S Meadowlark Ave, Springfield, MO 65807-8719 | 2019-08-20 |
| 1891357125 | Amy Richter | Dietitian, Registered | 1857 S Hampton Ave, Springfield, MO 65807-2725 | 2019-07-08 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1407322407 | Ruth Kirschner | Dietitian, Registered | 275 Chestnut St Ste 1, Springfield, MA 01104-3498 | 2018-10-17 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on PRISCILLA BLOOM.
| 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.