Nourished & Bloom LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHED & BLOOM LLC

Practice address

13402 N Expressway 281
Edinburg, TX 78542-2433

Phone

(956) 647-3368

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Cynthia Dennise Cameron, RDN, LDNPI 1265279236

Title

Registered Dietitian

Phone

(956) 647-3368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Dennise Cameron, RDN. LD

  • Registered Dietitian
  • Edinburg, TX
  • NPI 1265279236

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1841024122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N EXPRESSWAY 281",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785422433",
            "telephone_number": "956-647-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N EXPRESSWAY 281",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785422433",
            "telephone_number": "956-647-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED & BLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DENNISE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "956-647-3368",
        "authorized_official_credential": "RDN, LD"
    },
    "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 Edinburg, TX
• Providers in Edinburg, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.