KIM BLOOMER (NPI# 1114400702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114400702 |
| Entity Type | Individual |
| Full Name | KIM BLOOMER |
| Practice Address |
40 La Riviere Dr Buffalo NY 14202-4344 |
| Mailing Address |
6835 Forestview Dr Lockport NY 14094-7988 |
| Practice Telephone | 7168931010 |
| Mailing Telephone | 7169304422 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 005364-1 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE | 005364-1 | 01 |
| Street Address |
40 LA RIVIERE DR |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-4344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821659236 | Kelsey M Steffen | Nurse Practitioner | 40 La Riviere Dr, Buffalo, NY 14202 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| 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 |
|---|---|---|---|---|
| 1063023505 | Rachel Laster | Dietitian, Registered | 33 Manhart St, Buffalo, NY 14215-3224 | 2020-08-10 |
| 1720639792 | Clara Isabelle Nosek | Dietitian, Registered | 960 Busti Ave Apt 405, Buffalo, NY 14213-2100 | 2019-09-21 |
| 1326696352 | Lai Yeng Chung | Dietitian, Registered | 742 Delaware Ave, Buffalo, NY 14209-2202 | 2019-09-03 |
| 1891254462 | Kaitlyn E Summers | Dietitian, Registered | 116 Plymouth Ave # 2, Buffalo, NY 14201-1212 | 2019-03-13 |
| 1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
| 1942797071 | Kathleen A Adam | Dietitian, Registered | 728 Mckinley Pkwy, Buffalo, NY 14220-1524 | 2018-04-14 |
| 1689177792 | Diana Korzhukova | Dietitian, Registered | 572 Potomac Ave Apt 4, Buffalo, NY 14222-1153 | 2018-03-14 |
| 1932620960 | Katy A Graf | Dietitian, Registered | 101 Aurora Dr, Buffalo, NY 14215-2041 | 2017-06-29 |
| 1972041523 | Drew Hemler | Dietitian, Registered | 78 Prospect Ave, Apt 3, Buffalo, NY 14201-2401 | 2017-02-03 |
| 1427502103 | Sarah Lynn Stimpson | Dietitian, Registered | 155 Wellington Rd, Buffalo, NY 14216-2417 | 2016-08-10 |
| Find all providers in BUFFALO | ||||
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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.