Individual provider Active NPI

Elizabeth Bloom, RDN

  • Registered Dietitian
  • Durango, CO
National Provider Identifier
1063806156
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86027442
Practice address
160 E 12TH St Ste 1
Durango, CO 81301-5261
Phone
(970) 236-8090
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86027442 Primary

Addresses

Primary practice location

160 E 12TH St Ste 1
Durango, CO 81301-5261

Mailing address

PO Box 4251
Durango, CO 81302-4251
Phone (507) 261-3535

Other practice location 1

1255 Escalante Dr Apt 7302
Durango, CO 81303-8925
Phone (507) 261-3535

Other names 1

  • Elizabeth Pike Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Blooms LLC Dietitian, Registered CurrentSince Mar 24, 2025 Accepting new patients

Locations

160 E 12th St
Ste 1
Durango, CO 81301
Phone (970) 236-8090

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1063806156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4251",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813024251",
            "telephone_number": "507-261-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 12TH ST STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015261",
            "telephone_number": "970-236-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Escalante Dr Apt 7302",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813038925",
            "country_code": "US",
            "telephone_number": "507-261-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86027442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PIKE",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.