Organization Active NPI

Blossom With Nutrition LLC

  • Registered Dietitian
  • Detroit, MI
National Provider Identifier
1063296515
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tameria English, MBA, RDNPI 1326795915
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.