NPI age
9 years
Enumerated 2017-01-23
● Active Type 2 · Organization
Bloom Functional Nutrition
Bloom Functional Nutrition is 1 of 1653 dietitian, registered organizations in Georgia.
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blake
Owner
Last NPPES update
2024-01-30
Source: monthly bulk 2026-05
How this organization compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
9 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
322 Timberland Cir
Richmond Hill, GA 313246398
Mailing address
322 Timberland Cir
Richmond Hill, GA 313246398
Authorized official
Malorie Blake, RD
Owner
📞 7176344227
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Malorie Blake, MS, RDN, LDN, CLT Dietitian, Registered NPI 1366996936
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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