Inward Bloom PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

INWARD BLOOM PLLC

Practice address

368 Kintner Rd
Kintnersville, PA 18930-9725

Phone

(714) 497-3469

NPI assigned

Sep 12, 2025

Last updated

Sep 12, 2025By 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

Maryanna Staerk, MBA, LDNNPI 1174759104

Title

Owner

Phone

(714) 497-3469

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.

• Maryanna Staerk, MBA, LDN

  • Registered Dietitian
  • Lake Forest, CA
  • NPI 1174759104

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1396616454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "KINTNERSVILLE",
            "state": "PA",
            "postal_code": "189300005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 KINTNER RD",
            "city": "KINTNERSVILLE",
            "state": "PA",
            "postal_code": "189309725",
            "telephone_number": "714-497-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWARD BLOOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "STAERK",
        "authorized_official_first_name": "MARYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-497-3469",
        "authorized_official_credential": "MBA, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Deangelo, ATC, LAT, MS
• Maureen Fachet, OTRL
• Lisa Keutman, LCSW
• Jean Krauss, RN, IBCLC
• Charity O'Reilly, LPC
• Palisades School District
• Shari Evelyn Vandergast, LCSW

• Registered Dietitian in Kintnersville, PA
• Providers in Kintnersville, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.