Kevin Blume, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 60270930 Issued in WA

Practice address

1225 N Grand Ave # B
Pullman, WA 99163-3426

Phone

(208) 890-5241

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1447517933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BAKER ST APT 4",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433276",
            "telephone_number": "208-890-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N GRAND AVE # B",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633426",
            "telephone_number": "208-890-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "KEVIN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60270930",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joy Billings, LMHC ASSOCIATE
• Jason Lee Blackham, M.D.
• Logan Blair
• Deborah Blazzard, PMHNP
• Todd B Bledsoe, PA
• Caitlyn Louise Blumenshein
• Lori W Bobo, CDP
• Anikka Boggess
• Danielle Michelle Bonner, LMP
• Stephanie L Boone

• Registered Dietitian in Pullman, WA
• Providers in Pullman, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.