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

Mrs. Beth Heather Bloom, RD

Individual provider Registered Dietitian · NPI 1740240068

Mrs. Beth Heather Bloom, RD is a Registered Dietitian in Massapequa, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

15 N Pine St
Massapequa, NY 11758-2455
Phone: (516) 804-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 865058 (NY)

Record details

NPI number1740240068
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJuly 13, 2026
Mailing address15 N Pine St, Massapequa, NY 11758-2455

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