Active NPI
Michelle Renee Bloomhuff
- Social Worker
- Muscatine, IA
National Provider Identifier
1003474651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095607
- Practice address
- 810 Main St
Muscatine, IA 52761-1848 - Phone
- (563) 260-9280
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095607 | IA | Primary |
Addresses
Primary practice location
810 Main St
Muscatine, IA 52761-1848
Mailing address
15426 County Road G44X
Letts, IA 52754-9306
Phone (563) 260-9280
Other practice location 1
1706 Brady St Ste 206
Davenport, IA 52803-4708
Phone (562) 579-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1706 Brady St
Suite 206
Davenport, IA 52803-4708
Phone (563) 579-7790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Social Worker
- Davenport, IA
- NPI 1093942856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1003474651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15426 COUNTY ROAD G44X",
"city": "LETTS",
"state": "IA",
"postal_code": "527549306",
"telephone_number": "563-260-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MAIN ST",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527611848",
"telephone_number": "563-260-9280"
}
],
"practiceLocations": [
{
"address_1": "1706 Brady St Ste 206",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528034708",
"country_code": "US",
"telephone_number": "562-579-7790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOMHUFF",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "095607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.