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Active NPI 1386020774 Individual Practitioner Female Practitioner

Melissa Diane Bloom , MS, RD, LD, CEDRD

Dietitian, Registered • Frisco, TX

Professional Overview & Biography Verified Profile Summary

Melissa Bloom, MS, RD, LD, CEDRD is a registered healthcare professional specializing in Dietitian, Registered in Frisco, TX. Practice services are available at 6136 FRISCO SQUARE BLVD STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6136 Frisco Square Blvd Ste 400

Frisco, TX 750343251

Telephone 4699919865
Associated Practice Facility / Clinic
🏢 D Pruitt & Associates Facility NPI 1417008921

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Frisco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
44 Specialists

Practicing in Frisco, TX (5148 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-14
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT85824

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License IL 1007678

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
411003301 (TX)
Commercial Insurance / Payer ID Medicare
1C4310 (TX)

Secondary Practice Locations

5830 Granite Pkwy Ste 100-344

Plano, TX 750246771

Phone: 4699919865

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sarah Ortiz , RDN, LD

Dietitian, Registered

NPI 1487236519

Registered Dietitian Nutritionist, Licensed Dietitian

Mollye Varon , RDN, LD

Dietitian, Registered

NPI 1568291854

Registered Dietitian Nutritionist, Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location December 14, 2021

Registered at 6136 FRISCO SQUARE BLVD STE 400, FRISCO, TX 750343251 (Tel: 4699919865)

📍
Updated Business Mailing Address December 14, 2021

Registered at 5830 GRANITE PKWY STE 100-344, PLANO, TX 750246771 (Tel: 4699919865)

👤
Provider Name / Credentials Updated December 14, 2021

Recorded as MELISSA BLOOM, MS, RD, LD, CEDRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2021

Dietitian, Registered (License #1007678 in IL)

📍
Updated Practice Location August 31, 2020

Registered at 7951 COLLIN MCKINNEY PKWY STE 200, MCKINNEY, TX 750707843 (Tel: 4692949075)

📍
Updated Business Mailing Address August 31, 2020

Registered at 4100 ELDORADO PKWY STE 100-413, MCKINNEY, TX 750706102 (Tel: 4692949075)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Dietitian, Registered (License #DT85824 in TX)

📍
Updated Practice Location April 08, 2019

Registered at 7527 FAIRMEADOW TRL, SACHSE, TX 750485699 (Tel: 8173194672)

📍
Updated Practice Location February 20, 2019

Registered at 9825 N 95TH ST STE 101, SCOTTSDALE, AZ 852584590 (Tel: 4809414247)

📍
Updated Business Mailing Address February 20, 2019

Registered at 110 W MOUNTAIN SAGE DR, PHOENIX, AZ 850450424 (Tel: 8173194672)

👤
Provider Name / Credentials Updated February 20, 2019

Recorded as MELISSA BLOOM, MS, RD

NPI Profile Active August 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2015

Registered at 20 E UNIVERSITY DR STE 301, TEMPE, AZ 852813628 (Tel: 4803030844)

📍
Updated Business Mailing Address August 07, 2015

Registered at 20 E UNIVERSITY DR STE 301, TEMPE, AZ 852813628

👤
Provider Name / Credentials Updated August 07, 2015

Recorded as MELISSA DANIELS, MS, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2015

Dietitian, Registered (License #1007678 in IL)

🟢
Initial NPI Registration & Enumeration August 07, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386020774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2015
Last Update: December 14, 2021
Sole Proprietor: No

Mailing Address

5830 Granite Pkwy Ste 100-344

Plano, TX 750246771

Phone: 4699919865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.