Organization Active NPI

Feeding Bliss PLLC

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1134745631
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FEEDING BLISS PLLC
Practice address
1844 N 38TH St
Phoenix, AZ 85008-3914
Phone
(602) 730-5484
Fax
(833) 518-3410
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Courtney Dillon Bliss, RDNNPI 1740708205
Title
Owner
Phone
(602) 730-5484

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 DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1844 N 38TH St
Phoenix, AZ 85008-3914

Mailing address

1844 N 38TH St
Phoenix, AZ 85008-3914
Phone (602) 730-5484

Other identifiers 1

IdentifierTypeStateIssuer
1740708205MedicaidAZ

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.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1134745631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083914",
            "telephone_number": "602-730-5484",
            "fax_number": "833-518-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083914",
            "telephone_number": "602-730-5484",
            "fax_number": "833-518-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEEDING BLISS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-730-5484",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740708205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.