Organization Active NPI

Bloom Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Newport News, VA
National Provider Identifier
1124904370
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLOOM MEDICAL TRANSPORT
Practice address
11818 Rock Landing Dr Ste 202B
Newport News, VA 23606-4230
Phone
(800) 813-2805
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Jasmyne Clark
Title
Owner
Phone
(719) 373-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

11818 Rock Landing Dr Ste 202B
Newport News, VA 23606-4230

Mailing address

13401 Sailmaker LN
Carrollton, VA 23314-3386
Phone (719) 373-2102

National Provider Directory

National Provider Directory

Locations

11818 Rock Landing Dr
Ste 202B
Newport News, VA 23606
Phone (800) 813-2805

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1124904370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 SAILMAKER LN",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143386",
            "telephone_number": "719-373-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 ROCK LANDING DR STE 202B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064230",
            "telephone_number": "800-813-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JASMYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-373-2102"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.