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AMY K. BLOM RD
NPI 1891422614
Dietitian, Registered in Bellingham, WA

Active since August 02, 2022
4455 CORDATA PKWY, BELLINGHAM, WA 98226(360) 671-3225(360) 671-0000 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2026, Feb 24, 2025, Feb 3, 2025 and 3 more (6 updates tracked since 2022).

About Amy K. Blom Rd NPPES

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

AMY K. BLOM RD (NPI 1891422614) is an individual dietitian, registered in Bellingham, Washington, licensed in Washington (DI61260721) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1891422614
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMY K. BLOMCredential: RD
Location Address4455 CORDATA PKWYBellingham, WA 98226-8037
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 671-3225
Fax(360) 671-0000
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1891422614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI61260721
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.
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X · License DI61260721 (WA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License DI61260721 (WA)
4455 CORDATA PKWY, Bellingham, WA 98226
Open in Google Maps ↗

Other Identifiers 1

Medicaid2215188WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy K. Blom Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Blom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sea Mar Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
4455 CORDATA PKWY
Bellingham, WA 98226
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1225185648 (360) 671-3225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

LORA C SHERMAN MD
Family Medicine
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
JULIA KERL M.A.
Counselor (Mental Health)
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 734-5458
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 788-7149
JEREMY A GINOZA DO
Family Medicine
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
MARIE TYNDALL RD
Dietitian, Registered
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
CARI LYNNE JONES
Counselor (Addiction (Substance Use Disorder))
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 734-5458
MONICA CARRILLO MD
Family Medicine
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3222

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 Amy Blom's NPI number?

The NPI number for Amy Blom is 1891422614. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Amy Blom located?

Amy Blom practices at 4455 Cordata Pkwy, Bellingham, WA 98226. The listed phone number is (360) 671-3225.

What is Amy Blom's specialty?

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

Is Amy Blom enrolled in Medicare?

Yes. Amy Blom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Blom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Blom reassigns Medicare benefits to Sea Mar Community Health Centers (Bellingham, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Blom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Blom was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.