Active NPI
Elizabeth Bloom, RDN
- Registered Dietitian
- Durango, CO
National Provider Identifier
1063806156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventure Blooms LLC | Dietitian, Registered | Current | 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.