Amy K. Blom, RD
NPI 1891422614ActiveIndividual· Dietitian, Registered· Bellingham, WA
Dietitian, Registered (RD) in Bellingham, Washington, licensed in WA, with an NPI issued in August 2022. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1891422614 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Aug 2, 2022 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI61260721 | WA |
| Case Manager/Care Coordinator | 171M00000X | DI61260721 | WA |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | DI61260721 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (WA) |
|---|
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