Full Bloom Nutrition Therapy LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FULL BLOOM NUTRITION THERAPY LLC

Practice address

3008 Fallen Acorn Cir
Cary, NC 27519-9438

Phone

(910) 547-2971

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Ashley M White, MPH, RDN, LDNNPI 1669193231

Title

Owner/Founder

Phone

(910) 547-2971

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Ashley White, RD

  • Registered Dietitian
  • Cary, NC
  • NPI 1669193231

  Dietitian, Registered

  NPD Authorized official
• Devin Leeann Buss, MPH

  • Nutritionist
  • Charlotte, NC
  • NPI 1326662511
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1659092229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 FALLEN ACORN CIR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 FALLEN ACORN CIR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199438",
            "telephone_number": "910-547-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM NUTRITION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "910-547-2971",
        "authorized_official_credential": "MPH, RDN, LDN"
    },
    "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 Cary, NC
• Providers in Cary, NC by specialty
• Registered Dietitian in North Carolina

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