Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Functional Nutrition

Organization Registered Dietitian · NPI 1346787892

Bloom Functional Nutrition is a Registered Dietitian in Richmond Hill, Georgia. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

322 Timberland Cir
Richmond Hill, GA 31324-6398
Phone: (717) 634-4227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1346787892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malorie Blake — Owner · (717) 634-4227
NPI enumeratedJanuary 23, 2017
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address322 Timberland Cir, Richmond Hill, GA 31324-6398

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