Organization Active NPI

Bloom Health & Wellness, LLC

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1043852734
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLOOM HEALTH & WELLNESS, LLC
Practice address
4300 S US Highway 1 Ste 203-197
Jupiter, FL 33477-1198
Phone
(407) 968-1500
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amanda Nicole Delgado, D.C.
Title
Owner
Phone
(407) 968-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4300 S US Highway 1 Ste 203-197
Jupiter, FL 33477-1198

Mailing address

4300 S US Highway 1 Ste 203-197
Jupiter, FL 33477-1198
Phone (407) 968-1500

National Provider Directory

National Provider Directory

Locations

2001 Bomar Dr
Ste 1
Palm Beach Gardens, FL 33408
Phone (561) 429-4971

2001 Bomar Dr
Ste 2
Palm Beach Gardens, FL 33408

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1043852734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S US HIGHWAY 1 STE 203-197",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334771198",
            "telephone_number": "407-968-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S US HIGHWAY 1 STE 203-197",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334771198",
            "telephone_number": "407-968-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-968-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.