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Active NPI 1417447624 Individual Practitioner Female Practitioner

Danyelle Bloomstrom , REGISTERED DIETITIAN

Dietitian, Registered • Longview, WA

Professional Overview & Biography Verified Profile Summary

Danyelle Bloomstrom, REGISTERED DIETITIAN is a registered healthcare professional specializing in Dietitian, Registered in Longview, WA. Practice services are available at 600 BROADWAY ST STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Broadway St Ste 120

Longview, WA 986323256

Telephone 3605624304
Fax 3605624300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Longview, WA (2154 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-09-02
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA D160807281

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

State License WA D160807281

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1417447624 (WA)

Secondary Practice Locations

1717 Olympia Way Ste 206

Longview, WA 986323929

Phone: 3604237740

1615 Delaware St

Longview, WA 986322367

Phone: 3605013601

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 02, 2020

Registered at 600 BROADWAY ST STE 120, LONGVIEW, WA 986323256 (Tel: 3605624304)

📍
Updated Business Mailing Address September 02, 2020

Registered at 600 BROADWAY ST STE 120, LONGVIEW, WA 986323256 (Tel: 3605624304)

📍
Updated Practice Location October 08, 2019

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367 (Tel: 3605013601)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Dietitian, Registered (License #D160807281 in WA)

NPI Profile Active May 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2018

Registered at 1717 OLYMPIA WAY STE 206, LONGVIEW, WA 986323929 (Tel: 3604237740)

📍
Updated Business Mailing Address May 14, 2018

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604237740)

👤
Provider Name / Credentials Updated May 14, 2018

Recorded as DANYELLE BLOOMSTROM, REGISTERED DIETITIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2018

Case Manager/Care Coordinator (License #D160807281 in WA)

🟢
Initial NPI Registration & Enumeration May 14, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417447624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2018
Last Update: September 02, 2020
Sole Proprietor: No

Mailing Address

600 Broadway St Ste 120

Longview, WA 986323256

Phone: 3605624304

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.