Brigitta Bly, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054

Phone

(605) 271-5640

NPI assigned

Sep 29, 2020

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1669089116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 E STEAMBOAT TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571108541",
            "telephone_number": "605-496-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W 57TH ST STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085054",
            "telephone_number": "605-271-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLY",
        "first_name": "BRIGITTA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry J Blow, MD
• Daniel W Blue, MD
• Julia Ilene Blue
• Denise Marie Blume, OTR/L
• Ashlee Blumhoff, CNP
• Daniel Boadwine, MD
• Elizabeth Megan Bockelman, RN
• Nathan Andrew Bockholt, M.D.
• Jody Bockorny, LPC-MH
• Allison Annette Boe, PT, DPT

• Registered Dietitian in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Registered Dietitian in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.