Bloom Health Services for Women

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R857552 Issued in MS

Legal business name

BLOOM HEALTH SERVICES FOR WOMEN

Practice address

1200 N State St Ste 430
Jackson, MS 39202-2027

Phone

(601) 487-7141

Fax

(601) 487-4170

NPI assigned

Oct 7, 2008

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Lynne Schlagel, NP

Title

Owner

Phone

(601) 487-7141

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurie Selman Nimon, NP

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1265712145
  NPD (past)
• Marie Jaqueline Williams, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Jackson, MS
  • NPI 1073550273
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1124279245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 430",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-487-7141",
            "fax_number": "601-487-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 430",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-487-7141",
            "fax_number": "601-487-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTH SERVICES FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SCHLAGEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-487-7141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R857552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessings Beyond (Allied Home Care)
• Wendy Nicole Blethen, NNP-BC
• Phillip Blevins, M.D.
• Tasha Blevins, PCMHT
• Lauren Smythe Bloodworth, PHARM.D.
• Philip J Blount, M.D.
• Blue Skyz Still Waters
• Christine Elizabeth Blue, CFNP
• Bernard Irving Blumenthal, M.D.
• Kregg S Bly, O.D

• Women's Health Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.