Bloom Pediatrics, PLLC
Organization Active NPI Pediatric Nurse Practitioner · Callahan, FL
NPI 1104760537 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1104760537
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- Legal business name
- BLOOM PEDIATRICS, PLLC
- Practice address
- 542194 US Highway 1
Callahan, FL 32011-8109 - Phone
- (904) 675-3076
- NPI assigned
- Apr 16, 2026
- Organization subpart
- No
Authorized official
- Name
- Jessica Raines
- Title
- Owner
- Phone
- (904) 675-3076
Practitioners 1
-
Jessica Anne Raines, CPNP-PC
National Provider Directory
Locations
542194 US Highway 1
Callahan, FL 32011
Phone (904) 339-5826
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner |
363LP0200X | Yes |
Addresses
Primary practice location
542194 US Highway 1
Callahan, FL 32011-8109
Mailing address
542194 US Highway 1
Callahan, FL 32011-8109
Other providers in Callahan, FL
- Danielle Austin
- Juan Avelino
- Jaleesa Bachmann
- Baptist Primary Care Inc
- Lisa Blas
- Mark Nicholas Brinkman
- Callahan Chiropractic Clinic
- Callahan Health Group Inc
- Callahan Pharmacy Inc
- Melissa Thick Cannon
All providers in Callahan, FL · Pediatric Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.