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SAMANTHA J VANDER BLOOMEN RD NPI 1275969420


NPI Information

NPI: 1275969420
Provider Name: SAMANTHA J VANDER BLOOMEN, RD
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
2520 ELISHA AVE
ZION, IL
ZIP 60099
Phone: (847) 731-5075
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Samantha J Vander Bloomen, RD is a dietitian registered in Zion, IL. The provider is 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 applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Samantha J Vander Bloomen, RD NPI is 1275969420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2520 ELISHA AVE
ZION, IL
ZIP 60099
Phone: (847) 731-5075

The enumeration date for this NPI number is 9/19/2013 and was last updated on 7/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered164.006887ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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