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

Individual provider Registered Dietitian · NPI 1275969420

Samantha J Vander Bloomen, RD is a Registered Dietitian in LA Crosse, Wisconsin. Works from 3 locations. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

700 W Ave S
LA Crosse, WI 54601-8806
Phone: (608) 758-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2520 Elisha Ave, Zion, IL 60099 — (847) 731-5075
  • 1050 Division St, Mauston, WI 53948-1931 — (608) 847-6161

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2658 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence 164.006887 (IL)

Record details

NPI number1275969420
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 19, 2013
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

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