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

Blossom LLC

Organization Registered Dietitian · NPI 1083421192

Blossom LLC is a Registered Dietitian in Memphis, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

909 N Avalon St
Memphis, TN 38107-5008
Phone: (901) 288-5875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X

Record details

NPI number1083421192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Herin — Dietian · (901) 288-5875
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 29, 2024
Certification dateDecember 29, 2024
Mailing address909 N Avalon St, Memphis, TN 38107-5008

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