NPI 1861890949 · live from the CMS NPI Registry
Priscilla Bloom, RD, LD
Dietitian, Registered in Springfield, MO. National Provider Identifier 1861890949, active.
NPI record
| NPI | 1861890949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1720 W Battlefield St, Springfield, MO 65807 |
| Practice phone | 417-881-1950 |
| Enumerated | December 5, 2014 |
| Last updated | December 5, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86049240 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.