Kathleen Ann Bloom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2077 Issued in MN

Practice address

1606 Cliff Rd E
Burnsville, MN 55337-1300

Phone

(952) 894-6300

Fax

(952) 894-2601

NPI assigned

Sep 20, 2006

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Chiropractic Center PAGroup PAC ID 2860566213, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Chiropractic Center PA

  • Chiropractor
  • Burnsville, MN
  • NPI 1417075532
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1073611497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371300",
            "telephone_number": "952-894-6300",
            "fax_number": "952-894-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371300",
            "telephone_number": "952-894-6300",
            "fax_number": "952-894-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-06-21",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Blomquist, DO
• Bloom Chiropractic Center PA
• Bloom Early Intervention Center LLC
• Bloom Studio and Counseling Services LLC
• Jody Lee Bloom
• Jerry Blume, LICSW
• Lisa Lynn Boeser, DC
• Mary Boevers
• Alecia Bohnsack
• Jamieya Z Bolin-Johnson, BEHAVIORAL THERAPIST

• Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.