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Danyelle Bloomstrom , REGISTERED DIETITIAN

Dietitian, Registered β€’ Longview, WA

Active NPI 1417447624 Individual Practitioner Female Practitioner
Practice location in NPPES

600 Broadway St Ste 120
Longview, WA 986323256

Call 3605624304 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

600 Broadway St Ste 120

Longview, WA 986323256

Telephone 3605624304
Fax 3605624300
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Longview, WA. 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

2018

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 Longview and Washington

26 active clinicians are listed under Dietitian, Registered with a practice address in Longview, WA (2,134 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 26 clinicians have the CMS telehealth indicator.

7.7% of these 26 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: 2020-09-02
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES 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

License # reported to NPPES 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.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid 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

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

10 Historical Events
πŸ“
Updated Practice Location September 02, 2020

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

πŸ“
Updated Business Mailing Address September 02, 2020

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

πŸ“
Updated Practice Location October 08, 2019

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

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

Dietitian, Registered (license number reported to NPPES: WA D160807281)

βœ…
NPI Profile Active May 14, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 14, 2018

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

πŸ“
Business Mailing Address (Initial Record) May 14, 2018

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

πŸ‘€
Provider Name / Credentials (Initial Record) May 14, 2018

Recorded as DANYELLE BLOOMSTROM, REGISTERED DIETITIAN

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

Case Manager/Care Coordinator (license number reported to NPPES: WA D160807281)

🟒
Initial NPI Registration & Enumeration May 14, 2018

First registered as active Individual Practitioner in NPPES Database.

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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

Other Dietitian, Registereds in Longview

Healthcare providers in Longview

Mailing Address

600 Broadway St Ste 120

Longview, WA 986323256

Phone: 3605624304

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.