Nancy Schill Bloom, R.D.
Individual provider Active NPI Registered Dietitian · Larkspur, CA
NPI 1033325907 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033325907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT02906 (TX)
- Practice address
- 2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141 - Phone
- (415) 927-0666
- Fax
- (415) 927-6168
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT02906 | TX | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT02906 | TX | Yes |
Addresses
Primary practice location
2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Mailing address
2 Del Casa Dr
Mill Valley, CA 94941-1322
Phone (415) 389-6422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00572874 | Other | CA | DIETETIC REGISTRATION # |
Other providers in Larkspur, CA
- Shanee Ben-Haim
- Mary C Bergbauer
- Shanna Lee Bhasin
- Helen Michelle Biren
- April Fay Blake
- Sally Elizabeth Boero
- Julie Bokser
- Maria Elizabeth Beloy Bradley
- William Allan Bradley
- Nelson Branco
All providers in Larkspur, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.