Individual
MELISSA DIANE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CEDRD
Contact information
Practice address
6136 FRISCO SQUARE BLVD STE 400, FRISCO, TX 75034-3251
(469) 991-9865
Mailing address
5830 GRANITE PKWY STE 100-344, PLANO, TX 75024-6771
(469) 991-9865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1007678
IL
133V00000X
Registered Dietitian
Primary
DT85824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C4310
MEDICARE
TX
05
—
411003301
—
TX
Enumeration date
08/07/2015
Last updated
12/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us