Active NPI
Bloom Mental Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1063369015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BLOOM MENTAL HEALTH LLC
- Practice address
- 2450 Chandler Ave
Las Vegas, NV 89120-4070 - Phone
- (702) 350-1419
- NPI assigned
- Mar 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Cuevas-Romero, APRN
- Title
- Owner
- Phone
- (702) 350-1419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2450 Chandler Ave
Las Vegas, NV 89120-4070
Mailing address
5516 Boulder Highway
#2F-221
Las Vegas, NV 89122
Phone (702) 350-1419
National Provider Directory
National Provider DirectoryLocations
5516 Boulder Hwy
#2F221
Las Vegas, NV 89122
Phone (702) 702-4969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789171200000",
"number": "1063369015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 BOULDER HIGHWAY",
"address_2": "#2F-221",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89122",
"telephone_number": "702-350-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 CHANDLER AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891204070",
"telephone_number": "702-350-1419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A",
"authorized_official_last_name": "CUEVAS-ROMERO",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-350-1419",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.