AMY BLOOM (NPI# 1174037220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174037220 |
| Entity Type | Individual |
| Full Name | AMY BLOOM |
| Credential | RD |
| Practice Address |
2060 East Paris Ave Se Suite 100 Grand Rapids MI 49546 |
| Mailing Address |
2060 E Paris Ave Se Ste 100 Grand Rapids MI 49546-6113 |
| Practice Telephone | 6169566100 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316492937 | Amy Sue Bloom | Internal Medicine | 2100 Crystal Dr, 10102a, Arlington, VA 22202-3784 | 2016-08-24 |
| 1386042455 | Amy Lynn Bloom | Psychologist | 433 Thornhill Rd, Oakwood, OH 45419-2932 | 2014-12-05 |
| 1508940347 | Amy Lynn Bloom | Counselor | 201 N Edison St Ste 233, Kennewick, WA 99336-1983 | 2006-10-25 |
| 1992146435 | Amy M Bloom | Social Worker | 5851 Holmberg Rd, 3514, Parkland, FL 33067-4536 | 2013-07-12 |
| 1669682977 | Amy Jo Bloom | Audiologist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2007-05-23 |
| 1972659621 | Amy E Bloom | Social Worker | 1925 Aspen Drive, Suite 100b, Santa Fe, NM 87505-5579 | 2007-01-26 |
| Street Address |
2060 EAST PARIS AVE SE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765992 | Lisa J. Griffin | Social Worker | 2060 East Paris Ave Se, Suite 220, Grand Rapids, MI 49546 | 2005-07-28 |
| 1114230786 | Heather L Dermyer | Counselor | 2060 East Paris Ave Se, Suite 200, Grand Rapids, MI 49546 | 2010-07-23 |
| 1942439567 | Mark Joseph Juska | Physical Medicine & Rehabilitation | 2060 East Paris Ave Se, Ste 200, Grand Rapids, MI 49546 | 2009-07-02 |
| 1548422272 | Bindu Upendra Popat - Lewis | Anesthesiology | 2060 East Paris Ave Se, Ste 200, Grand Rapids, MI 49546 | 2008-06-25 |
| 1760654602 | Grand Rapids Plastic Surgery Plc | Plastic Surgery | 2060 East Paris Ave Se, Suite 150, Grand Rapids, MI 49546 | 2008-04-01 |
| 1356568406 | Schuyler Andrew Rogg | Anesthesiology | 2060 East Paris Ave Se, Suite 200, Grand Rapids, MI 49546 | 2007-04-19 |
| 1053432732 | Timothy J Pieri | Social Worker | 2060 East Paris Ave Se, Suite 200, Grand Rapids, MI 49546 | 2007-04-02 |
| 1952429516 | Veronica Rodriguez Persenaire | Psychologist | 2060 East Paris Ave Se, Grand Rapids, MI 49546 | 2007-03-26 |
| 1083783344 | Carolyn Maria King | Psychiatry & Neurology | 2060 East Paris Ave Se, Suite 200, Grand Rapids, MI 49546 | 2006-11-08 |
| 1346281995 | Dawn White | Internal Medicine | 2060 East Paris Ave Se, Suite 100, Grand Rapids, MI 49546-6113 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1316575988 | Sarah Flessner | Dietitian, Registered | 100 Michigan St Ne # Mc84, Grand Rapids, MI 49503-2560 | 2020-03-30 |
| 1790311025 | Mitchell Paul Mrozik | Dietitian, Registered | 3308 Statesman Ct Ne, Grand Rapids, MI 49525-2685 | 2020-03-18 |
| 1881224665 | Darleena Scholten | Dietitian, Registered | 4520 Bonneville Dr Ne, Grand Rapids, MI 49525-1315 | 2020-01-22 |
| 1306320577 | Elizabeth Ames Eggleston | Dietitian, Registered | 7508 Whispering Ridge St Se, Grand Rapids, MI 49546-9168 | 2018-09-24 |
| 1457706707 | Patricia Ann Tucker | Dietitian, Registered | 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 | 2016-04-24 |
| 1477911352 | Rachel Laughlin | Dietitian, Registered | 4201 Kings Row Ct Nw, Grand Rapids, MI 49534-3495 | 2016-02-05 |
| 1922483809 | Stacey Niesen | Dietitian, Registered | 2215 44th St Se, Grand Rapids, MI 49508-5013 | 2015-07-21 |
| 1174944888 | Laura Brechting | Dietitian, Registered | 4 Union Ave Ne, Grand Rapids, MI 49503-3430 | 2013-12-23 |
| 1154769941 | Nancy Ann Ullrey | Dietitian, Registered | 3596 Tricklewood Dr Se, Grand Rapids, MI 49546-7246 | 2013-06-13 |
| 1104173251 | Denise Lynn Kesterke | Dietitian, Registered | 1450 Fulton St E, Grand Rapids, MI 49503-3854 | 2012-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on AMY 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.