Nourish to Bloom Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISH TO BLOOM NUTRITION LLC

Practice address

6028 Fieldston Rd
Bronx, NY 10471-1804

Phone

(914) 844-8407

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kristal Pilavas, MS, RD, CDN, CDCES

Title

Registered Dietitian Nutritionist

Phone

(347) 201-1150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1215686365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 FIELDSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711804",
            "telephone_number": "347-201-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 FIELDSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711804",
            "telephone_number": "914-844-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH TO BLOOM NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "PILAVAS",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "347-201-1150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, CDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.