Active NPI
Blossom Nutrition LLC
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1679389654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BLOSSOM NUTRITION LLC
- Practice address
- 909 N Avalon St
Memphis, TN 38107-5008 - Phone
- (901) 288-5875
- NPI assigned
- Dec 5, 2024
- Last updated
- Dec 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Herin, RD
- Title
- Dietitian
- Phone
- (901) 288-5875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
909 N Avalon St
Memphis, TN 38107-5008
Mailing address
909 N Avalon St
Memphis, TN 38107-5008
Phone (901) 288-5875
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1679389654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N AVALON ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381075008",
"telephone_number": "901-288-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N AVALON ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381075008",
"telephone_number": "901-288-5875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "HERIN",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "901-288-5875",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.