Active NPI
Blossom With Nutrition LLC
- Registered Dietitian
- Detroit, MI
National Provider Identifier
1063296515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BLOSSOM WITH NUTRITION LLC
- Doing business as
- Blossom with Nutrition LLC
- Practice address
- 18855 Lancashire St
Detroit, MI 48223-1345 - Phone
- (313) 506-9876
- NPI assigned
- Aug 23, 2023
- Last updated
- Aug 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tameria English, MBA, RD
- Title
- Registered Dietitian
- Phone
- (313) 506-9876
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
18855 Lancashire St
Detroit, MI 48223-1345
Mailing address
18855 Lancashire St
Detroit, MI 48223-1345
Phone (313) 506-9876
Other names 1
- Blossom with Nutrition LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1063296515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18855 LANCASHIRE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482231345",
"telephone_number": "313-506-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18855 LANCASHIRE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482231345",
"telephone_number": "313-506-9876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM WITH NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "ENGLISH",
"authorized_official_first_name": "TAMERIA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "313-506-9876",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA, RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blossom with Nutrition LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.