Blendwise Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BLENDWISE NUTRITION

Practice address

1218 Calle Aurora
Camarillo, CA 93010-8438

Phone

(805) 501-5381

NPI assigned

Mar 14, 2026

Last updated

Apr 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen Wise, RDNPI 1366397945

Title

Owner

Phone

(805) 501-5381

Specialties & licenses 1

Addresses

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.

• Colleen Wise

  • Registered Dietitian
  • Camarillo, CA
  • NPI 1366397945

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1184571465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "805-501-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 CALLE AURORA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108438",
            "telephone_number": "805-501-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDWISE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-501-5381",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Birjani
• Amy Bisogni, OTR/L, CNT, IBCLC
• Camille Black
• Blake Health Management Inc
• Darren Michael Blatt, MA, MFT-I
• Gwendolyn Sheila Bleu, AMFT
• Christopher Blum
• Kaitlin Blum, PT, DPT
• Sean Keller Blum, RN
• Jennifer L Boatright

• Registered Dietitian in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; 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.