DANYELLE BLOOMSTROM


Address: 600 Broadway St Ste 120, Longview, WA 98632-3256
Phone: 3605624304

DANYELLE BLOOMSTROM (NPI# 1417447624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417447624
Entity Type Individual
Full Name DANYELLE BLOOMSTROM
Credential REGISTERED DIETITIAN
Practice Address 600 Broadway St Ste 120
Longview
WA 98632-3256
Practice Telephone 3605624304
Practice Fax Number 3605624300
Mailing Telephone 3605624304
Mailing Fax Number 3605624300
Enumeration Date 2018-05-14
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D160807281 WA Dietary & Nutritional Service Providers
N 171M00000X Case Manager/Care Coordinator D160807281 WA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1417447624 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1717 Olympia Way Ste 206, Longview, WA 986323929 3604237740
1615 Delaware St, Longview, WA 986322367 3605013601

Office Location

Street Address 600 BROADWAY ST STE 120
City LONGVIEW
State WA
Zip Code 98632-3256

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760030456 Stephanie Michelle Michael Dietitian, Registered 615 7th Ave # 17, Longview, WA 98632-1606 2019-08-27
1609297431 Candace Clark Dietitian, Registered 1615 Delware Street, Longview, WA 98632 2013-12-20
1659638963 Stefanie Lynn Wilkerson Dietitian, Registered 770 Dennard St, Longview, TX 75605-8295 2012-04-12
1659691095 Kristina R Macher Dietitian, Registered 712 N High St, Longview, TX 75601-5330 2010-06-08
1770524621 Pamela Dawn Hignight Dietitian, Registered 1205 E Marshall Ave, Longview, TX 75601-5649 2006-06-10
1952364234 Mary Lynn Vassar Dietitian, Registered 2901 N 4th St, Longview, TX 75605-5128 2006-04-08
1427027739 Denise Frye Dietitian, Registered 107 Woodbine Place, #775, Longview, TX 75608 2006-03-17
1023572351 Kathleen Teresa Pittman Dietitian, Registered 1717 Olympia Way Ste 206, Longview, WA 98632-3929 2019-01-31
1619471505 Susan Hughes Dietitian, Registered 1005 N Eastman Rd, Longview, TX 75601-4231 2018-03-23
1255789152 Erika Jeanne Luther Dietitian, Registered 1615 Delaware St, Longview, WA 98632-2367 2016-06-01
Find all providers in LONGVIEW

Competitor

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City LONGVIEW
Zip Code 98632

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Dataset Information

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.

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