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Melissa Diane Bloom , MS, RD, LD, CEDRD

Dietitian, Registered β€’ Frisco, TX

Active NPI 1386020774 Individual Practitioner Female Practitioner
Practice location in NPPES

6136 Frisco Square Blvd Ste 400
Frisco, TX 750343251

Call 4699919865 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6136 Frisco Square Blvd Ste 400

Frisco, TX 750343251

Telephone 4699919865
Organization at the Same NPPES Address or Phone
D Pruitt & Associates Facility NPI 1417008921

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Plano, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Frisco and Texas

44 active clinicians are listed under Dietitian, Registered with a practice address in Frisco, TX (5,100 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Frisco

2.3% of these 44 clinicians have the CMS telehealth indicator.

6.8% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-14
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
411003301 (TX)
Other Identifier Medicare
1C4310 (TX)

Secondary Practice Locations

5830 Granite Pkwy Ste 100-344

Plano, TX 750246771

Phone: 4699919865

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location December 14, 2021

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

πŸ“
Updated Business Mailing Address December 14, 2021

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

πŸ‘€
Provider Name / Credentials Updated December 14, 2021

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

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

Dietitian, Registered (license number reported to NPPES: IL 1007678)

πŸ“
Updated Practice Location August 31, 2020

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

πŸ“
Updated Business Mailing Address August 31, 2020

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

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

Dietitian, Registered (license number reported to NPPES: TX DT85824)

πŸ“
Updated Practice Location April 08, 2019

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

πŸ“
Updated Practice Location February 20, 2019

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

πŸ“
Updated Business Mailing Address February 20, 2019

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

πŸ‘€
Provider Name / Credentials Updated February 20, 2019

Recorded as MELISSA BLOOM, MS, RD

βœ…
NPI Profile Active August 07, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2015

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

πŸ“
Business Mailing Address (Initial Record) August 07, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2015

Recorded as MELISSA DANIELS, MS, RD

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

Dietitian, Registered (license number reported to NPPES: IL 1007678)

🟒
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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.