Organization Active NPI

Blossom LLC

  • Registered Dietitian
  • Memphis, TN
National Provider Identifier
1083421192
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BLOSSOM LLC
Practice address
909 N Avalon St
Memphis, TN 38107-5008
Phone
(901) 288-5875
NPI assigned
Dec 12, 2024
Last updated
Dec 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Authorized official

Name
Margaret Herin, MS, RD, LDNPI 1245923010
Title
Dietian
Phone
(901) 288-5875

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary
Pediatric Nutrition Registered Dietitian 133VN1004X
Sports Dietetics Nutrition Registered Dietitian 133VN1501X

Addresses

Primary practice location

909 N Avalon St
Memphis, TN 38107-5008

Mailing address

909 N Avalon St
Memphis, TN 38107-5008
Phone (901) 288-5875

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": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735430400000",
    "number": "1083421192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N AVALON ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381075008",
            "telephone_number": "901-288-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N AVALON ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381075008",
            "telephone_number": "901-288-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "HERIN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIETIAN",
        "authorized_official_telephone_number": "901-288-5875",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.