MS. TINA MARIE BLOOMER (NPI# 1669802930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669802930 |
| Entity Type | Individual |
| Full Name | MS. TINA MARIE BLOOMER |
| Other Name | TINA MARIE MENDIETA |
| Credential | MS, RD/LDN |
| Practice Address |
512 Brickhaven Dr Raleigh NC 27606-1492 |
| Mailing Address |
7035 Walnut Branch Lane Charlotte NC 28277-8939 |
| Practice Telephone | 7046074924 |
| Practice Fax Number | 7044690879 |
| Mailing Telephone | 7046074924 |
| Mailing Fax Number | 7044690879 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L002206 | NC | Dietary & Nutritional Service Providers |
| Street Address |
512 BRICKHAVEN DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27606-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344270 | Lauren Kruse | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2012-03-28 |
| 1104304286 | North Carolina State University | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-6345 | 2018-08-01 |
| 1023502556 | Laura Sanders | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-6345 | 2018-06-18 |
| 1639614910 | Kamaria Mason | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-6345 | 2016-12-22 |
| 1942665146 | Raina Goldstein Bunnag | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2015-12-15 |
| 1801251020 | Jennifer S. Albright | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2015-12-15 |
| 1790105039 | Jenelle Wass | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2014-04-25 |
| 1528488806 | Heidi Schoeppner | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2014-04-24 |
| 1386064301 | Lindsay Nicole Goolsby | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2014-04-17 |
| 1649690736 | Jennifer Lynn Sohl-marion | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-1492 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1083250831 | The Lee Way Therapy & Consulting, Pllc | Social Worker | 4909 Waters Edge Dr., Suite 200a, Raleigh, NC 27606 | 2019-11-26 |
| 1811455488 | Inimfon E Ubom | Student in an Organized Health Care Education/Training Program | 521 The Greens Cir Apt 242, Raleigh, NC 27606 | 2019-03-03 |
| 1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
| 1801348891 | John Riel Manalansan Garcia | Specialist/Technologist | 2411 Dunn Ave, Raleigh, NC 27606 | 2016-10-26 |
| 1134599889 | Klingensmith & Associates, Pllc | Dentist | 1009 Capability Dr., Bldg. II. Ste 100, Raleigh, NC 27606 | 2015-10-06 |
| 1487038626 | Turning Leaf Therapy Services, Pllc | Social Worker | 4909 Waters Edge Drive 200d, Raleigh, NC 27606 | 2015-07-17 |
| 1528448743 | Ashley Francis Wright | Counselor | 1601 Jones Franklin Road, Suite 104, Raleigh, NC 27606 | 2015-06-03 |
| 1598172645 | Amalya Kali Wright | Emergency Medical Technician, Basic | 5315 Dana Dr Apt F, Raleigh, NC 27606 | 2014-07-21 |
| 1710312566 | Deirdre Rushin | Counselor | 1821 Avent Ridge Rd, Apt 104, Raleigh, NC 27606 | 2013-09-12 |
| Find all providers in zip 27606 | ||||
| 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 |
|---|---|---|---|---|
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1194331751 | Cindy Kang | Dietitian, Registered | 4621 Fielding Dr, Raleigh, NC 27606-4564 | 2020-09-18 |
| 1164032272 | Hannah Libera | Dietitian, Registered | 516 Phelps Ave, Raleigh, NC 27607-7260 | 2020-08-04 |
| 1265041693 | Liza Iv | Dietitian, Registered | 5931 Waterford Bluff Ln Apt 1533, Raleigh, NC 27612-7832 | 2020-07-31 |
| 1386261592 | Hannah Waspi | Dietitian, Registered | 110 Trinity Woods Dr, Raleigh, NC 27607-4948 | 2020-07-03 |
| 1760008098 | Julianne Tobin | Dietitian, Registered | 2260 Housecreek Trl Apt 105, Raleigh, NC 27607-3488 | 2020-06-23 |
| 1164044806 | Nancy Catherine Dyer | Dietitian, Registered | 4128 The Oaks Dr, Raleigh, NC 27606-3435 | 2020-05-16 |
| 1679102966 | Water and The Well | Dietitian, Registered | 3950 Fairsted Dr Apt 264, Raleigh, NC 27612-4545 | 2020-04-07 |
| 1326673922 | Janette Russell Lowe | Dietitian, Registered | 3916 Haithcock Road, Raleigh, NC 27604-4126 | 2020-03-04 |
| Find all providers in RALEIGH | ||||
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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.