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

Danyelle Bloomstrom, REGISTEREDDIETITIAN

Individual provider Case Manager/Care Coordinator · NPI 1417447624

Danyelle Bloomstrom, REGISTEREDDIETITIAN is a Case Manager/Care Coordinator in Longview, Washington. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

600 Broadway St Ste 120
Longview, WA 98632-3256
Phone: (360) 562-4304
Fax: (360) 562-4300
Show map & directions

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

Additional practice locations (2)

  • 1615 Delaware St, Longview, WA 98632-2367 — (360) 501-3601
  • 1717 Olympia Way Ste 206, Longview, WA 98632-3929 — (360) 423-7740

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D160807281 (WA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence D160807281 (WA)

Record details

NPI number1417447624
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDDIETITIAN
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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