1. Home
  2. Directory
  3. New York
  4. Buffalo
  5. Dietitian Registered
  6. NPI Profile

KIM BLOOMER
NPI 1114400702
Dietitian, Registered in Buffalo, NY

Active since September 11, 2018
40 LA RIVIERE DR, BUFFALO, NY 14202(716) 893-1010 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Bloomer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM BLOOMER (NPI 1114400702) is an individual dietitian, registered in Buffalo, New York, licensed in New York (005364-1) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1114400702
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIM BLOOMER
Location Address40 LA RIVIERE DRBuffalo, NY 14202-4344
Mailing Address6835 Forestview DrLockport, NY 14094-7988 · (716) 930-4422
Phone(716) 893-1010
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
✔ NPI 1114400702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 005364-1
Definition
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.
40 LA RIVIERE DR, Buffalo, NY 14202
Open in Google Maps ↗

Other Identifiers 1

Other005364-1NY · New York State

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH LANE WAGNER LCSW
Social Worker (Clinical)
40 LA RIVIERE DR
BUFFALO, NY 14202
Erie County (716) 893-1010
KELSEY M STEFFEN FNP-C
Nurse Practitioner (Family)
40 LA RIVIERE DR
BUFFALO, NY 14202
Erie County (716) 893-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Bloomer's NPI number?

The NPI number for Kim Bloomer is 1114400702. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Kim Bloomer located?

Kim Bloomer practices at 40 La Riviere Dr, Buffalo, NY 14202. The listed phone number is (716) 893-1010.

What is Kim Bloomer's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Kim Bloomer was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.