Blossom Nutrition Counseling LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BLOSSOM NUTRITION COUNSELING LLC

Practice address

10 West Rd # 1046
Newtown, PA 18940-4301

Phone

(267) 332-5911

NPI assigned

May 24, 2023

Last updated

Jun 9, 2023By 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

Amy Mathew, MS, RD, LDNNPI 1437526936

Title

Owner

Phone

(267) 332-5911

Specialties & licenses 1

Addresses

Locations

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.

• Amy Lynn Mathew, RD, LD

  • Registered Dietitian
  • Dallas, TX
  • NPI 1437526936

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1750073128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST RD # 1046",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404301",
            "telephone_number": "267-332-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST RD # 1046",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404301",
            "telephone_number": "267-332-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-332-5911",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Billinger, MA, MFT
• Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Kidney Care Newtown)
• Roland Tiko Biron, MD, DMD
• Robert Jerome Blair II, PH.D.
• Patricia Eugenia Blasingame
• Bluprint Counseling LLC
• Deborah J Bob, APRN
• Jennifer Boggs, RDH
• Marley Bongart
• Lillian Bonham, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.