P Praxis·MD
● Active Type 1 · Individual

Melissa Diane Bloom, MS, RD, LD, CEDRD

Dietitian, Registered·Frisco, TX· NPI 1386020774 · Enumerated 2015 · 10 years on NPI
Bloom is 1 of 59 dietitian, registered providers in Frisco and 1 of 5402 in Texas.
NPI age
10 years
Enumerated 2015-08-07
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
10 years
↑ 4 yr above median (5 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-08Enumerated in NPPES
2015 2026

Where they practice

Practice location
6136 Frisco Square Blvd Ste 400
Frisco, TX 750343251
📞 4699919865
Mailing address
5830 Granite Pkwy Ste 100-344
Plano, TX 750246771
📞 4699919865

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5830 Granite Pkwy Ste 100-344
Plano, TX 750246771
📞 4699919865

Specialties

  • Dietitian, Registered Primary
    A 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...
    TX license #DT85824IL license #1007678 taxonomy 133V00000X

Identifiers

TypeValueNotes
05 (TX) 411003301
01 (TX) 1C4310 MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new dietitian, registered providers have been added in Frisco in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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