Organization Active NPI

Blissnutri Wellness LLC

  • Registered Dietitian
  • Leander, TX
National Provider Identifier
1194398578
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BLISSNUTRI WELLNESS LLC
Practice address
660 S Bagdad Rd
Leander, TX 78641-5048
Phone
(832) 874-9744
NPI assigned
Jul 22, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mrs. Iris Federmann-Birch
Title
Office Manager
Phone
(832) 874-9744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

660 S Bagdad Rd
Leander, TX 78641-5048

Mailing address

660 S Bagdad Rd
Leander, TX 78641-5048
Phone (832) 874-9744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214001840 TX Part B Supplier - Clinic/Group Practice 1557751112 Receives reassigned benefits from 1 practitioner
Practice locations: Leander, TX

National Provider Directory

National Provider Directory

Locations

1 Straube Center Blvd
Pennington, NJ 08534
Phone (609) 915-4994

325 Ranch Road 620 S
Ste 100
Lakeway, TX 78734

660 S Bagdad Rd
Leander, TX 78641
Phone (832) 874-9744

660 S Bagdad Rd
Ste 310
Leander, TX 78641
Phone (512) 772-6788

Practitioners & affiliated clinicians

Practitioners 4

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": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1194398578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S BAGDAD RD",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415048",
            "telephone_number": "832-874-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S BAGDAD RD",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415048",
            "telephone_number": "832-874-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSNUTRI WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "FEDERMANN-BIRCH",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-874-9744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.